New Program Questionnaire

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The Danielle Foundation is sponsoring “Resources for Migraine Management,” a new virtual program to teach participants coping strategies and methods to manage migraine and the associated stress and anxiety. This program, guided by Dan Kauffman, PhD, will include regular online sessions, each on a different topic such as relaxation, coping with pain, and working with negative emotions.

Your success is dependent upon your commitment to participating in as many sessions as possible.

DATES: 2nd and 4th Saturday of every month, beginning June 13, at 1:30 pm MST

June 13 & 27, July 11 & 25, August 8 & 22, September 12 & 26, October 10 & 24

Please register below.

Full name *

Email address *

Which format you would prefer to have in the online meetings: *

Online relaxation practice (40-45 min) including: 5-10 min presentation, 25-30 min guided relaxation on a chosen topic, and 5 min experience sharing and Q & A.

Skill building workshop (50 min–1 hour) including: 5-10 min presentation, 10 min guided practice, 20 min working in pairs, 10 min summary and Q & A.

No preference.

Required

What is the frequency that you prefer to participate in the online program? *

Once a week

Once every two weeks (twice a month)

Once a month

Required

Using the following scale, please rate how important you think learning each of the topics below will be to your well-being. *

Not Important at all

Not Important

Somewhat Important

Important

Very Important

Relaxation of the mind and body

Cultivating gratitude

Working with physical pain

Cultivating compassion to self and others

Increasing happiness

Working with negative emotions (anxiety, anger, sadness, hopelessness, etc)

Resolving negative self-talk

Learning ways to better control your body

Strategies to work with relationships

Forgiveness for self and others