Full Name *

Email *

Phone *

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Instagram Handle *

City, Country of Residence *

Are you a certified breathwork facilitator? (Our Level II Training is only for certified facilitators) *

Yes

Who did you certify with? *

When did you complete your certification? *

Do you have any prior training in trauma-informed facilitation? *

Yes

How often do you currently facilitate breathwork sessions? *

Weekly

Monthly

Occasionally

I haven’t facilitated yet

What type(s) of breathwork do you currently facilitate (if any)? *

How familiar are you with somatic healing practices? *

Very experienced – I incorporate somatic work into my facilitation regularly.

Some experience – I have some understanding and have applied it in my work.

Minimal experience – I’m aware of it but have not deeply explored it.

No experience – I am new to somatic healing but eager to learn.

What are your biggest challenges as a facilitator right now? *

What is your intention for taking this Level II training? *

Are you currently in a position to invest in furthering your growth and development? *

Yes, I have the resources to invest in my personal growth and business development.

No, I don’t have the resources but I can definitely get resourceful and make things happen.

No, I’m not a good financial position right now and can’t invest in my growth.

If yes, how much are you willing to invest in yourself to up-level your facilitation skills? *

$500 - $2,500 USD

$2,500 - $5,500 USD

$5,500 - $7,500 USD

Based on your application, we’d love to move forward. Please take a moment to speak directly to Jamie. We’re excited for the possibility to have you join us in Bali!