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Inner Guide Meditation Registration
Event Timing: Mondays from January 26th - March 16th from 7-8pm
Event Address: Kaimuki/St.Louis - exact address will be sent prior to class 1
Contact
expandingedges@gmail.com
Please note, this information is purely for the facilitator (me!) and will not be shared, or sold.
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Email
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Your email
Full Name
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Your answer
Phone Number
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Your answer
Age
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Your answer
What drew you to this course?
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Your answer
What is your experience with meditation? (no experience is necessary)
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Your answer
Are you planning to attend in person, online or both?
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in person
online (zoom)
both
Can you attend all 8 sessions?
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Yes
No, please fill out the next question
I plan to drop in
If you're signing up for the whole course, how many are you expecting to miss and can you commit to watching the recording?
Your answer
If you feel comfortable sharing - Do you manage any current or past mental health issues that could affect your participation? Is there anything that would be important for the facilitator to be aware of to help support you during these 8 weeks in meditation?
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Your answer
Do you have any physical/mobility restrictions (location requires climbing stairs to access)
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Your answer
What do you hope to gain from this course?
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Your answer
Do you agree to enter this cohort with an open mind, respect others opinions, shares, and privacy?
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Yes
No
Do you agree to discretion of other participants experiences and agree to only share your own personal experience with others outside of the course?
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Yes
No
I ask that this be a phone free experience, do you agree to shutting your phone off during the 1 hr session every week?
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Yes
No
This course will be taught in English and at this time we are unable to translate into other languages, do you feel comfortable taking this course in English?
Yes
No
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How did you find out about this course?
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Your answer
Are you planning to come to one of the first free sessions before signing up for the others? If so which date?
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No, I plan to sign up for the whole course or drop in during the course
Yes - January 19th
Yes - January 26th
Would you like to sign up for the mailing list for future offerings?
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No
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