Questionnaire for In Wave Group Mindful Training Programs

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Please fill out the questionnaire and we'll get in touch with you. Or feel free to reach out to us at vyster@gmail.com to set up your "Build Your Mindfulness Program Session".

The contents of this questionnaire, any supporting documentation, telephone conversations, email, and any other communication shall be considered confidential information.

Email *

Name *

Email *

Company Name & City, State (Location) *

How would you describe your company culture?

What are your company values?

Target Population

What is the target department/ group/ division? Describe the team function. Describe the team age range. Describe the team interaction and relationship.

Describe your company/team experience with mindfulness

Briefly describe your team's current challenges

How does this impact individuals? How does this impact the team? How does this Impact productivity?

What categories are you interested in integrating and focusing on?

Stress and overwhelm

Health and wellbeing

Team collaboration and relationship

Resilience

Productivity

Leadership

Emotional and Relational Intelligence

Effective Listening and Communication

Focused attention, minimize distraction

Other:

Desired Outcomes

How would you describe your desired outcomes for an individual on your team? How would working optimally on your team look like?

Barriers/Constraints

Describe any possible barriers/constraints to employees participation? (time or management support)

Previous Programs

What has worked in the past? What was the success factor? What did not work? What was the cause?

Learning Modality

Will participants be receptive to instructional, experiential, reflection journaling components of program? Are you interested in individual coaching support?

Readiness

Have employees participated in similar programs? How receptive will they be about participating? How ready is the company to commit to implementing this type of program?

Logistics

How much time would employees have to participate? What part of the day would work best? Would 4-8 weekly sessions work best? When would be a good start date?

Evaluation

Are you interested in tailoring evaluations to your company's strategic goals and initiatives?

A copy of your responses will be emailed to the address you provided.

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