Help Me Serve You Better
Please submit honest feedback to help me determine how I can improve your happiness and well being in a more powerful way.
Sign in to Google to save your progress. Learn more
How do you identify? *
Clear selection
How old are you? *
Do you currently have a meditation practice? *
If yes, please describe your practice.  
(i.e., I practice daily-ish for 30 minutes, mostly guided with the Waking Up app, for the past 3 years)  The more detailed you can be the more it will help me understand your needs.
What is your biggest struggle right now in terms of your own happiness? *
Your answers are completely confidential and will only be used to help me determine how I can serve you best.
How difficult has it been for you to find an answer or solution to this struggle? *
What would finding an answer to this problem mean to you?  How would this affect your life? *
What is your interest in mindfulness & meditation? *
no interest
very interested
What is your interest in learning science-based strategies for happiness and how to apply them to your life?   *
no interest
very interested
What is your interest in exploring different meditation practices, such as walking meditation, loving-kindness meditation, breathing techniques for anxiety, etc.? *
no interest
very interested
If you were to invest in your happiness, what type of help would you be most interested in? *
Required
Please leave your email address.
Based on your answers, I may reach out to offer a free discovery call or consultation.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms