Institute for Integrative Mindfulness and Movement: MBSR Feedback Form
Thank you for your interest in the MBSR Program. Tell us a little bit about yourself and your interest so we can be in touch with additional information about the program and let you know when we are offering the program.
Phone Number (Optional)
Why might you be interested in taking the MBSR Program?
To better cope with stress
To better cope with anxiety
To better cope with pain
To better cope with chronic condition / health issues / illness
To better cope with life challenges
To learn mindfulness based practices
Other. Please provide details in the Sharing Box at the bottom of the page.
What would be your preferred day(s) to take the course? Please tick all the options that work for you.
What would be your preferred time(s) to take the course? Please tick all the options that you like.
Sharing Box. Please use this space for any question, comment, feedback, suggestion or anything you'd like to share. Thank you.
Does your workplace offer a wellness program or event(s) for the employees from time to time? If so, feel free to leave the email of the person we could contact to offer services within your organization. Thank you.
Thank you for your feedback. Feel free to save our contact information for reference. We offer classes to organizations, groups and individuals. May you spread well-being and continue to live and inspire healthy active lifestyles all around you! | The Institute for Integrative Mindfulness and Movement | Website: https://integrativemindfulnessmovement.com | Email: firstname.lastname@example.org
#letspreadwellbeing and #livehealthyactivelifestyles
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