Client Information
Client First Name
Client Last Name
Practitioner Information
Practitioner First Name
Practitioner Last Name
Practitioner E-Mail
Practitioner Date of Session
Module
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Module 1
Module 2
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Module 4
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Module 6
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Session
We appreciate answers to this form in English.
Invocation
How well do you feel you prepared energetically, mentally and physically pre-session?
What was the energy/deity you called in during invocation and why?
Conversation
What was the client's initial intention/issue to work with?
What were the key pieces of information that emerged during the conversation stage, that you based the session on?
When questioned, did the client express any physical boundaries/fears towards receiving bodywork?
Activation
What Activation/Bodywork protocols did you guide your client through and why?
What deeper layers emerged from the unconscious during the activation phase? E.g. What were the limiting beliefs and feelings associated with this issue? What did the initial trigger remind them of?
Are there any other protocols that either (a) could have been used, or (b) in hindsight may have been better suited?
Integration
What were the newfound beliefs/resolutions that your client reached?
How did you guide your client to somatically embody these?
What homework/practices did you prescribe to your client to continue with after the session?
Self-Reflection
What are some things you did well during the session?
Were there any challenges or areas you feel you need further practice, study or support?
Please rate your competency in the following areas of your session, and write any comments to yourself for continual improvement:
Self-preparation prior to the session
No preparation
Very well prepared
Set-up of scared space
Didn’t set up sacred space
Sacred space was set up beautifully
Quality of listening
Wasn’t able to listen well
Demonstrated active listening and affirming
Content & clarity of verbal guidance
Didn’t feel clear with verbal guidance
I felt very clear with the content and verbal guidance I gave
Choice of bodywork protocols used
Didn’t feel like I chose the right protocols
The protocols I chose were very well matched for the client’s experience
Implementation of bodywork protocols
Not well received by the client
Client responded very effectively to the bodywork protocols
Following intuition
My head got in the way and I felt disconnected to my intuition
I felt very connected and trusting of my intuition
Integration process – rewriting of beliefs
I didn’t feel clear or effective in offering new beliefs to my client
The client responded positively to the new beliefs I offered
Integration process – rest & digest state
The client was not responsive to the integration process e.g. was not able relax
The client demonstrated strong signs of being in a deep rest and digest state
Integration process – giving homework
I did not offer homework to the client
I gave clear and relevant homework to the client who was positive to implement in their life.
Self-confidence during session
Very low
Very self confident
Also please note - if you have a session specific question you’d like answered, please email us directly via
training@embodiedawakeningacademy.com as comments in this form may not always be seen due to the high volume received.
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