Your Information


    Full Name





    Phone Number


    Is this contact information different from when you took your class? YesNo
    Date of Workshop
    Date of Workshop?
    Training Location


    Are you listed on the website?
    How many sessions did you utilize the Ashi Restore skills prior to sending in your certification quiz? (10-20 is recommended)

    Ashi Restore Certification

    Name 2 contraindications for Ashi Restore:

    Why are clients with issues with hypermobility not good candidates for Ashi Restore Treatments?

    Name 3 benefits for clients:

    On the pain scale, what range do we want to stay within?

    Choose a position and narrate how you would tell the client to get into that position.

    What area of the body can you never apply compressive force?
    The anterior armOver bonesAn un-bolstered area of the bodyThe posterior legs

    Please make sure you log in the client’s name and date after each practice session. Their names will remain confidential. Send in the test, video, the log sheet and your client evaluations along with your check or money order. We may contact your clients to verify your session. Please make sure they put their email on the eval form. It will not be used to solicit business, nor will we ever sell the email address.