SHAMANIC, KAHUNA LOMI LOMI

SAMPLE APPLICANT QUESTIONNAIRE


This questionnaire is provided to help you and Nita-Rose, determine whether or not Shamanic, Kahuna Lomi Lomi is right for you, prior to you enrolling in the workshop.

The workshop is a healing retreat that teaches a deeply spiritual massage modality that was used in the temples of ancient Hawaii to heal and offer guidance to the recipient. The healers and priests of the community offered it as a rite of passage.

In order to deliver the power of Shamanic, Kahuna Lomi Lomi, you will be required to undergo your own personal, spiritual journey 2 weeks prior to the workshop – with the Ka Hana Pono – a cyberspace workshop given to you as part of the training. Although it is not mandatory for you to do this preparatory work, it is what makes all the difference in your ability to offer a powerfully, healing Lomi Lomi Massage.

Please provide a narrative answer to the following questions:


1. How did you learn about this training?


2. Why do you want to attend this workshop?

3. Are you happy to take 10 minutes a day to read the instructions and do the exercises in the Ka Hana Pono preparatory work?

4. Are you happy to learn the opening chant in Kahuna Lomi Lomi that asks for blessings and the prayer that is said requesting protection and guidance?



5. What is your professional education & background?


6. What type of work do you do for a living?


5. Are you currently in any active form(s) of counseling, therapy, transformational work?


6. Are you on any psychoactive medication?


7. List any other professional / personal work you do that’s related to energy work, therapeutic touch, shamanism, or healing.



8. Tell us something about your spiritual life.


9. Send 1-3 photos of yourself. One photo should include a clear image of your face.

10. Once you have registered with your deposit, you will be sent the opening chant on CD as well as a the Ka Hana Pono book and cards. The lessons will be sent to you via e-mail. You will need the book and the cards to do the exercises.


What you need to bring to the workshop:

Please bring the following:

A notebook and paper.

A white twin size or full size, flat, sheet

A bandana to cover your eyes and that is able to tie comfortably behind your head.

Socks and sweater (this workshop runs a lot of energy, at times you will be very warm … other times you will be cold …dress in layers)

White outfit. You will need to dress in white for this workshop – a white T-Shirt and white nurses scrubs work great. Please make sure your shirt is short sleeved. Your arms need to be free to do the massage. If you wear anything with sleeves it will get in your way and prevent you from comfortably performing the strokes in the massage. White symbolizes purity and it will keep you cool. This massage uses a lot of oil – by wearing white you are able to keep your clothes clean with bleach – and preventing ugly oil stains.

Bring a brown bag lunch and something to snack on. You use a lot of energy and anything you can do to replenish your energy such as an energy bar or drink will really help!

Please email your response to: tararose@cinci.rr.com Your response will be forwarded to Nita-Rose who will respond to you directly addressing any questions you may have for her, or if she has any for you.




You may also mail your response to:

The Private Spa
Nita-Rose Augsbach
6820 High Meadows Drive
Cincinnati, Oh 45230


Persons accepted to the training should register directly with Larry at (513) 231-0754 or on-line at www.nitarosemassage.com