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Appendix - Healing Touch Program

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

Supervising Instructor’s Evaluation - Continued<br />

Level 1 Instructor Certification Application<br />

Location ______________________________ Date ___________________________<br />

Subject<br />

Laser<br />

Pain Drain<br />

Wound Sealing<br />

Pain Ridge<br />

Headache Techniques<br />

Tension<br />

Sinus<br />

Migraine/Pain Spike<br />

Trauma<br />

Heart to Heart Meditation<br />

Chakra Spread<br />

Demonstration<br />

Exchange & Sharing<br />

Mind Clearing (optional)<br />

Scudder (optional)<br />

Networking/Professional Issues<br />

Time<br />

Mngmt Eval Comments<br />

Comments:<br />

Recommendations for Applicant Improvement:<br />

Do you recommend the Applicant for Instructor Certification Status:<br />

____ Yes ____ With Further Development (Please include comments on needed development<br />

under Areas for Improvement above. An additional sheet may be used if needed.<br />

Signature<br />

Date<br />

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

24

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