Modified Mindfulness Based Stress Reduction (MBSR) Course
Welcome. So glad to see that you are interested in MBSR training and taking a wonderful and skillful control of your life.

Payment is required to reserve your spot. Once you fill out this form, please return back to this MBSR course's page and pay for the Course after you complete your registration form.

FOR QUESTIONS, please Contact:   Yasemin@TunedMinds.com
 
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Email *
Full Name (First and Last) *
Age *
Gender Pronouns *
What do you hope to learn from this course? What brings you to this course? *
Profession? *
Phone Number *
Time Zone and Location (Address, City, State) *
Emergency Contact: 1) Name, 2) Relation, 3) Phone number, 4) Email address *
Are there any special needs or considerations we should know about to support you better? *
Do you have prior experience with meditation and/or mindfulness (all experiences are welcome)? Please explain. *
Is there anything else you feel I should know about you?
Are you currently seeing a therapist or mental health provider? *
If you are seeing a therapist: Part 1: What is their name and Contact (email/phone). We will not contact them without your permission or letting you know first.
If you are seeing a therapist Part 2: Are they informed of and approve of you taking this course? What is the reason you are seeing them?
Email address (please confirm for accuracy) *
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