Intro to iRest® Meditation for Concussion Recovery & Stress Management
PLEASE READ: This 6-week series is free and open to individuals experiencing persistent symptoms as a result of concussion and their caregivers. To get the most out of the course it is recommended that you attend all 6 classes. Because space is limited, if you cannot commit to all 6, your spot may be given to another.

Thursdays 5:15 - 6:15 pm
Jan 23 - Feb 27
Renew Yoga and Massage
438 E Mendenhall St
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Name: *
e-mail address *
Cell phone (for text reminders)
Can you attend all 6 classes?
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How did you hear about this series? *
Have you had a concussion or are you a caregiver for someone who has? *
We would like to gather information from participants at the beginning, middle and end of the course to monitor changes in physical, emotional, and mental wellbeing as well as sleep patterns. Are you willing to share feedback on your experience? *
If you have had a concussion, how many and when?
What persistent symptoms are you experiencing such as headache, dizziness, neck pain, visual changes? Please list all.
How often do these symptoms occur? Are there specific triggers we should be aware of?
Are you able to lie down on the floor or sit in a chair comfortably? What modifications are needed to increase your comfort? *
What is your experience/relationship with meditation? *
What are a few of the reasons you decided to sign up for this course? *
Do you have any  questions, comments or concerns you'd like to share?
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