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Appendix - Healing Touch Program

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<strong>Appendix</strong><br />

Participant Evaluation Summary<br />

Level 1 Instructor Certification Application<br />

Applicant<br />

Supervising Instructor<br />

Location<br />

Indicate relevant experience:<br />

# of Students<br />

Date<br />

“Assistant Instructor “ One Two Three<br />

“Solo Instructor” Primary Additional “Solo Instructor”<br />

Summarize each rating, tallied from the Participant Evaluation of Instructor & Course<br />

Content<br />

5=excellent, 4=good, 3=average, 2=fair, 1=poor<br />

Evaluation and Effectiveness 5 4 3 2 1 NA<br />

1. The participant will be able to:<br />

a. Describe the human energy system relationship to<br />

physical, emotional, mental and spiritual health<br />

b. Discuss energy principles basic to <strong>Healing</strong> <strong>Touch</strong><br />

c. Assess the energy field and energy centers<br />

d. Identify a Basic <strong>Healing</strong> <strong>Touch</strong> Sequence<br />

e. Demonstrate specific intervention techniques used<br />

in <strong>Healing</strong> <strong>Touch</strong><br />

f. Discuss applications of <strong>Healing</strong> <strong>Touch</strong> in personal<br />

and professional practice including self care and HTP<br />

Code of Ethics and Scope of Practice<br />

2. Relevance of content to identified objectives<br />

3. Ability to communicate knowledge of subject<br />

4. Effectiveness of teaching methods<br />

5. Ability to respond to questions<br />

6. Ability to stimulate participants<br />

© Copyright 2008 <strong>Healing</strong> <strong>Touch</strong> <strong>Program</strong> HTP-930 03.26.08<br />

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