Compassionate Noticing Registration

THRIVING LIFE

COMPASSIONATE NOTICING - REGISTRATION
First Name: *
Last Name: *
E-mail: *

Confirmation Email
Phone Number:

Country Code Area Code Phone Number
City: *
State or Province: *
Country: *
What's the location of the event you're registering for?

Portland, OR Minneapolis/St. Paul, MN Telephone
What event(s) are you registering for? (Note, your INTRO registration INCLUDES a full CN Mindfulness Practice Session.) TUITION IS BY DONATION in 2020, FREE if you need it! *

Oct 19, 6:30am-9pm INTRO + Practice ($45-$15 sliding scale) Oct 19, 7:30-9pm Practice Only ($30-$5 sliding scale) Oct 22, 12:30-2pm Practice Only ($30-$5 sliding scale) Oct 29, 11:30am-2pm INTRO + Practice ($45-$15 sliding scale) Oct 29, 12:30-2pm Practice Only ($30-$5 sliding scale) I can't make any of these, but please let me know when future dates are scheduled
Please confirm the date of your FIRST CN event:

Month Day Year
Date
How did you FIRST hear about Vika or Thriving Life?

From a Friend, Family Member, Neighbor, Colleague, Therapist, etc. (please specify below) Internet Search (Google, Yahoo, Ask, etc.) Facebook Page for this Free Intro event Presence Practice Facebook page Vika's ThrivingLife Facebook page Thriving Life Institute Facebook page Thriving Life email CNVC Website ORNCC NVC Website ORNCC NVC Newsletter Sacred Circle Dance list Other (please specify below)
What "other" way, or through whose recommendation, did you FIRST hear about Vika or Thriving Life?
Do you have any experience with NVC? (none is required!)

No I've just heard about it, and I'm curious I've read at least part of "the book" - NVC A Language of Life, by Marshall Rosenberg I've taken a workshop or class I've participated in an NVC Practice Group of some kind I've taken classes &/or workshops, AND participated in an NVC Practice Group (less than 1 year) I've taken classes &/or workshops, AND participated in an NVC Practice Group (1-3 years) I've taken classes &/or workshops, AND participated in an NVC Practice Group (more than 3 years) I've taught NVC
Do you have any experience with Relational Neuroscience or Attachment Theory? (none is required)

No Yes, Relational Neuroscience/Interpersonal Neurobiology Yes, Attachment Theory Yes, both
Are you a mental health, personal development, or other helping professional?

No Yes, I'm a mental health professional Yes, I'm preparing for a career as a mental health professional Yes, I'm a coach or other personal development professional Yes, I'm preparing for a career as a coach or other personal development professional Yes, other (please specify below)
What "other" helping professional role do you have?
What are you hoping to experience or develop, from participating in this mindfulness practice? *
What are 3 situations that you find the most upsetting (that "step on your broken toes")? For example, when people express upset at something you've done, when something you're using breaks or doesn't work, when you make a mistake, etc.
Wondering what a "broken toe" is?

Click here for a quick 8-minute video that's amazingly helpful in understanding what "goes wrong" in our relationships! It will make a big difference ...
Is there anything else you'd like us to know?
Please add thrive@thrivinglifenvc.org and vika.thrivinglife@gmail.com to your "safe senders" email list, and watch your inbox or spam filter for your confirmation email.

We look forward to meeting you!

Warmly,

Vika Miller, MA
Thriving Life & Community
503-395-5366
thrive@thrivinglifenvc.org
www.thrivinglifenvc.org
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