Mindfulness Toolkit Download Form
Please note, the Mindful Moments Virtual Toolkit and related materials have been prepared based on content contained within Mindful Moments, a product owned and distributed by Boundless Blooms (Zakara Goods, LLC). This content is approved solely for use in the classroom setting and with the permission from Boundless Blooms (Zakara Goods, LLC).
By completing this questionnaire, you agree that any free digital resources created by Boundless Blooms are solely for instructional use and meant to be utilized in the classroom setting.
Once you have completed and submitted the questionnaire, you will be granted access to the digital toolkit of mindfulness resources.
For questions regarding use of the following content, please contact Kaajal Agnani at firstname.lastname@example.org
Teaching Email Address. Please enter your teaching email address, e.g., the email you might use to login to Google Classrooms. This email address will be granted access to the digital toolkit and resources.
Please list the school(s) you teach at and include the city and state they are located in.
How will you be teaching this year?
What grade(s) will you be teaching this year?
Kindergarten - 1st grade
2nd grade - 4 grade
5th - 6th grade
7th - 8th grade
9th - 12th grade
What subject(s) will you be teaching this year?
Health / Physical Education
Language (e.g., Spanish, French, Mandarin, Cantonese, Hindi)
Social Studies / History
I'm a counselor / specialist
Approximately how many students will you be teaching?
I agree that the materials included in the Mindful Moments Virtual Toolkit and other related materials created by Boundless Blooms are approved solely for use in the classroom setting and with the permission from Boundless Blooms (Zakara Goods, LLC). I understand that these materials are not to be duplicated or shared for use outside of the classroom setting. If I have any questions, I will contact Kaajal at email@example.com
Are you open to sharing feedback and experiences on the contents of the Mindful Moments Virtual Toolkit?
We love receiving feedback and hearing stories about how Mindful Moments exercises and affirmations are incorporated into daily life! Please share your feedback and stories with us! You can email your stories, photos, or videos to firstname.lastname@example.org or share on Facebook or Instagram and tag us @bloomkindfully
Once you have completed this questionnaire, you will receive an invite where you can access and download the Mindful Moments Virtual Toolkit. Please don't hesitate to reach out to email@example.com with any questions or concerns!
Send me a copy of my responses.
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