Teresa Yeh, LICSW - Mindfulness for Eco-Distress Group Interest Form
Updated November 10th, 2023:

Please fill out this form to indicate your interest in joining an upcoming round of the Mindfulness for Eco-Distress group.

Mindfulness for Eco-Distress

What: A primarily skills-based and mutual support group for participants experiencing distress related to awareness of the human impact on the environment and climate.

Each group will consist of experiential mindfulness- and compassion-based practices with guided reflection, discussions, didactics, and recommended home practice. Participants will learn new coping skills for developing inner resilience, empowerment, and find support for creating sustainable action towards living a more eco-harmonious life.

Where: TBA.

When: The next round of this group is TBA. Group sessions will be 1.5 hours long each, taking place once a week over 8 weeks.

Cost for the 8-Week Group: Free / By Donation. *Suggested donation if you have the financial means is $360 for 8 weeks ($45 per session).

No previous mindfulness experience required.

*I do not want finances to be a barrier to these groups. If you are interested in joining but have financial need, please let me know below. Only I have access to and will see your answers to this form.
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Full Name *
Preferred pronouns
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Age *
Email Address *
Phone Number *
What is the best way to reach you? *
必須
What day/times would you be available for 8 weeks, once a week, to participate in this 1.5 hour group?
Morning (9-12 PM)
Afternoon (12-5 PM)
Evenings (after 5 PM)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Why do you want to join this group? *
What, if any, background or experience do you have with practices of meditation, mindfulness, or other similar types of practices? *No prior mindfulness experience is required to join this group.
 *
I do not want finances to be a barrier for anyone to join one of these groups. If the suggested cost would be a barrier to joining, please include a brief explanation of your circumstances, and what amount ($0-$45 per session) would help make the group accessible for you. Only I will see the answers on this form.
How did you hear about this group? *
必須
Is there anything else you feel will be helpful for me to know?
Additional Information - Please read and then click "Submit" below.

Thank you for your interest in joining this group!

When the next round of this group is announced, I will reach out regarding next steps. The completion of this form does not guarantee admission into the group.

If it turns out my group is not a good fit, or if you would like to connect to additional resources before this group begins, I also encourage you to explore additional climate-related supports & resources compiled by All We Can Save at: https://www.allwecansave.earth/emotions

In the meantime, please feel free to email me at contact@teresayeh.com with any questions.

Click "Submit" below to complete this form.

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