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100 Hour Mindfulness & Meditation Teacher Training Course
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Name of Participant:
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Date of Birth:
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Phone Number
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Email address:
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How did you hear about this course?
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Internet Search
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If Other please specify:
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What is your experience with Mindfulness?
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I have completed a Yoga Teacher Training course
I have completed a mindfulness / meditation course
I have a regular meditation practice and self study
I have other equivalent experience with this practice.
If other experience state what:
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What is your comfort level with public speaking?
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Not comfortable at all
I can do it but I don't enjoy it
Pretty good but can always improve
I am as good as they get
Do you want to be added to the Higher Potential Living mailing list?
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What does your current practice look like?
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What do you hope to get from this experience?
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Home
About
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