Compassionate Presence Questionnaire (Rob Preece)
I would appreciate if you could fill in the following questionnaire.
Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email *
Your answer
Age *
Your answer
Buddhist background: Eg. tradition, teachers, dates *
Your answer
Sutra study experience: Eg Lam Rim. lo-jong. *
Your answer
Tantric practice experience: e.g. empowerments, teachings *
Your answer
Retreat experience *
Your answer
Western psychological experience: e.g. trainings or therapy
Your answer
Body-centred experience: e.g. Yoga, Qigong, Kum Nye *
Your answer
Do you have any relevant health issues? *
Your answer
Do you have any history of mental illness? *
Your answer
Are you taking any medications? If so which? *
Your answer
Any other relevant information *
Your answer
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