Slowing Down Circle Application & Questionnaire: Fall 2017
This is an application form for our Slowing Down Circle. It is also a questionnaire for us to select members in our group. You will be contacted by email within a couple of weekdays.
Details about SDC: http://bit.ly/2wzK2BM.
If you wish to talk to Kimine for consultation before SDC, reserve your spot by going to: https://calendly.com/kimine/20-minute-consultation-talk.

There are 12 questions below.

Email address *
1. Full name *
Your answer
2. Primary e-mail address *
Your answer
3. Best phone number *
For Kimine only- Will not be shared.
Your answer
4. Home adress *
For Kimine only- Will not be shared.
Your answer
5. Which category best describes you? *
Required
6. Have you taken a workshop or webinar with us, Being Lazy and Slowing Down? *
Being Lazy and Slowing Down - Riyad Shahjahan & Kimine Mayuzumi or either of us
Required
7. In as little or as much detail as you think we'll need, tell us about your current situation and what has prompted you to explore the idea of "Being Lazy and Slowing Down"? *
Your answer
8. What do you expect from our Slowing Down Circle? *
Your answer
9. Can you attend our weekly 75-minute meetings on Thursdays, from October 26 to December 7 (6 meetings) starting at 1:30pm (Eastern)? *
It will be virtual, through zoom meeting. Specific meeting dates are: Oct. 26, Nov. 2, 9, 16, 30, & Dec. 7.
10. If you don't get a seat this time, are you interested in another Slowing Down Circle with us in the future? *
11. Should you be chosen for the Slowing Down Circle - are you ready and able to maintain the confidentiality of your fellow members? *
12. Is there anything else you want us to know as we are making decisions about member selection soon?
Your answer
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