CRC Intro to Mindfulness and Meditation 6-week series application
Meditation is one powerful way to help transform chaos into inner calm and frustration into joy. Meditation offers a variety of paths--from short to long, guidance to silence, imagery to mantras--so that everyone can find a practice that works for them.

During this class series you will explore how mindfulness works, experience various practices, and discover what resonates with you.

Tuesdays, 4:30 - 5:45 pm, January 15 - February 19

Name: *
Your answer
e-mail address *
Your answer
Cell phone (for text reminders)
Your answer
How did you hear about this series? *
Have you had a concussion or are you a caregiver for someone who has? *
Your answer
If you have had a concussion, how many and when?
Your answer
What persistent symptoms are you experiencing such as headache, dizziness, neck pain, visual changes? Please list all.
Your answer
How often do these symptoms occur? Are there specific triggers we should be aware of?
Your answer
Are you able to sit on the floor or in a chair comfortably? What modifications are needed to increase your comfort? *
Your answer
Have you been instructed by a physician to modify your activity? If so, please explain.
Your answer
What is your experience/relationship with meditation? *
Your answer
What are a few of the reasons you decided to sign up for this course? *
Your answer
Do you have any questions, comments or concerns you'd like to share?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service