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Mindfulness Program Information
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* Indicates required question
Email
*
Your email
Name:
*
Your answer
Phone number
Your answer
What level of experience do you have with meditation?
None
Some
Moderate
Advanced
Clear selection
Why would you like to try meditation?
Your answer
Check any of the following meditations that interest you. Leave blank if you are unsure.
Lovingkindness
Gratitude
Mindfulness
Compassion
Body Scan
Relaxation
Forgiveness
Other:
Where are you interested in having our sessions?
My location or other specified location
Virtually
Outdoors in nature (I will help find a spot)
Other:
Clear selection
Which program are you interested in?
Four week program
Six week program
Something else- let's talk and customize a plan
Clear selection
Times and dates that work for our appointment (we can discuss this further)
Your answer
Is there anything else you would like me to know?
Your answer
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