Mindfulness Online Course Registration
Please read the instruction mindfully and complete all items as best as you can, in the following format:
Use proper capitalization/spelling/format of Names and Place of residence, including COUNTRY (as in Example), since they will show in the roster exactly as you type (other personal items will not be shared).
This information will help us to understand your background and to be able to effectively guide you through the course. There will be no discrimination based on the answers.
How you complete this form will reflect your level of attention/mindfulness.
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First (given) Name *
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