New Program Questionnaire
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 *
Your answer
Email address *
Your answer
Which format you would prefer to have in the online meetings: *
What is the frequency that you prefer to participate in the online program? *
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
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
If you have any other comments or suggestions, such as other topics you would like to explore, please write them below.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Danielle Byron Henry Migraine Foundation. Report Abuse