Introduction to Mindfulness Course Application Question Title * 1. It's so nice to meet you! Please tell me your name. Question Title * 2. This course is designed for adults over the age of 18. Are you over 18? Yes No Question Title * 3. This course strives to be inclusive of all gender identities. Please share your pronouns. She/Her He/Him They/Them Other/Prefer not to answer Question Title * 4. What is your level of experience with mindfulness practices? No previous experience Less than 1 year of practice More than 1 year of practice Question Title * 5. How did you hear about this online course? Question Title * 6. What drew you to apply for this course? Is there anything specific you are looking forward to learning or hope to achieve? Question Title * 7. Sometimes mindfulness practice can be emotionally intense. Do you have a solid support system at home you can call upon if needed? (Disclosure: I am not a trained therapist. I care about your safety. Access to healthcare professionals is therefore required.) Question Title * 8. Is there anything else you would like to share to help me to better serve you? Question Title * 9. Please provide your email address Question Title * 10. Please list your phone number and address. Done