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Meditation Attendance Form
Zoom Online Meditation for all
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Your phone number with country & area code
*
Your answer
All meditation technique U already used
*
None or No previous experience
Breathing
Movement
Sound
Body
Mind
Sight
Smell
Touch
Taste
Other:
Required
Do U need help for any (choose all applies)
*
Want to quit smoking
Relationship Problem (Divorce/Breakup/separation etc)
Get rid of drinking alcohol
Get rid off a bad habit
Personal Development
Need to reduce stress & anxiety
Need help chronic pain
Need help to a disease
Weights loss
Selflove
Addiction
Anger Management
Other:
Do U want to become a meditation teacher if we provide U training?
Yes
No
Maybe
Clear selection
Any liberation path start with generosity do U want to donate some (even a dollar count) if not that's OK too
Yes
No
Maybe
Clear selection
Submit
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