Course: Date: 

Name:   

Address:   

City:  State:  Zip:    

Email:  

Phone:  

Occupation: 

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PLEASE ANSWER THE FOLLOWING QUESTIONS:

1.  What is your previous experience with Rosen Method?  

 

 

 

 

 

2.  What is your professional background in the health professions, movement,
or related fields?

 

 

 

 

 

3.  What is your personal experience with other forms of bodywork or movement?

 

 

 

 

 

4.  What is your purpose in taking this Rosen Method program?

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ROSEN METHOD: the Berkeley Center

2236 6th St, Berkeley, CA 94710

email: rosenmethod@sbcglobal.net

For further information call the school at (510) 845-6606

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