1. Which best describes the reason you want to learn meditation?
To relieve stress & anxiety
To sleep better
To achieve goals/success
To manage my emotions
To be healthier
Spiritually/Enlightenment
2. What would make you apprehensive about meditation?
Don't know where to start
I don't have time
I won't be able to stop thinking
It seems complicated
Not sure if I'm doing it right
3. If you've tried to meditate before (and didn't like it), what happened?
I've never tried before!
I got bored
I couldn't sit still
My mind wouldn't stop racing
I always love meditating
4. If you had to choose one area to improve on, which one would you choose?
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Stop obsessive thoughts
Concentration/focus
Relationships
Break bad habits
Creativity
5. What's one of your biggest challenges when stressed?
Making time for self care
I have a bad temper
I get impatient and controlling
I tend to be too hard on myself
I jump to conclusions
Name
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First Name
Last Name
Phone
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Cell
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