Have you attended this course with Susie before? *
Do you have any experience in mindfulness practices and meditation? If so, please give details.
Your answer
Do you have any history of physical illness or any disabilities, which may significantly affect your sitting, standing, or walking practice?
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Have you ever been diagnosed with or experienced any significant mental health issues, e.g. depression, eating disorders, anxiety, trauma, addictions, drug/alcohol abuse? If yes, please give details of condition(s) and date(s).
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Describe any present circumstances that might place you under additional stress or may significantly affect your meditation practice (e.g. bereavement, redundancy, relationship breakdown, etc.)
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Is there any additional information you would like to convey to the teacher?