MBSR pre-course questionnaire
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Age:
Occupation:
How did you find us?
What current challenges have brought you to the MBSR course?
What obstacles might come up in attending sessions and doing 45-60 minutes home practice each day?
Have you experienced things in your life that you would like to discuss with Adele prior to the course?
What strengths do you bring into learning something new like this?
Any other comments?
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