In this level students learn the art of pattern recognition through a study of kyo/jitsu deficiency excess model of Master Masuanga’s Zen Shiatsu system and the use of the Four tools of Assessment: Looking, Asking, Listening/Smelling and Touching. All previously learned material is integrated into flowing sessions led by movement, awareness and pattern recognition with multiple points of contact using thumbs, palms, forearms, elbows and knees. Additional elegant positions and movement combinations are introduced. Much like vinyasa flows in yoga, various sequences of movement and acu-point stimulation are practiced to give students a full range of technical approaches for clinical application. Masunaga’s Front and Back Assessment Areas are studied, and effective assessment palpation practiced. A semi-private tutorial with the Instructor is required between 103 and 104.