Intake Survey


Mastering Meditation and Mindfulness

Congratulations and welcome to the Mastering Meditation and Mindfulness live course. I look forward to learning more about you and supporting you towards the achievement of your goals.

Please take a few minutes to answer the following questions so that we can serve and support you best. Once completed, you will be redirected to the course program page.

I look forward to connecting with you very soon. To your divine and eternal success!

In your own words, please introduce yourself and help us get to know you a little better.
Why did you enroll in this program and what do you hope to learn, achieve and experience in taking this course?
What are your current challenges? What have you tried? What has worked? What has not worked?
On a scale of 1-10, 10 being the best, please rate how you feel about your current state of health.
On a scale of 1-10, 10 being the best, please rate how you feel about the current quality of your relationships.
On a scale of 1-10, 10 being the best, please rate how you feel about your current level of success.
On a scale of 1-10, 10 being the best, please rate how you feel about your current state of spirituality.
Please use this field to add anything else you would like to share with us.