Compassion Workshop Survey (Sanford Institute)

Survey of Interest for UCSD Staff, Students, and Faculty

The UC San Diego Center for Mindfulness is offering the following 1-day workshop on December 3, 2021: The Neuroscience of Mindfulness-Based Meditation: The Science of Compassion and Well-Being.

In support of the workshop, The UC San Diego T. Denny Sanford Institute for Empathy and Compassion will sponsor a select number of UC San Diego Staff and Faculty members with a full scholarship to cover the cost of the workshop. If you are interested in subsidy, please complete the survey application, which will help us identify candidates for scholarships to attend at no cost. Please complete this survey by November 24, 2021 to be considered.

This survey will take no more than 2 minutes to complete. It will help us gauge your interest and appreciation of both science and practice regarding the spectrum of mind-body techniques found to increase compassion and improve well-being. Thank you for your time!

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* 1. Please provide your contact information below. (Please note that we will not contact you for any reason other than our workshop.)

Name:

Profession:

Department:

Email Address:

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* 2. Tell us more about yourself (optional)

Age:

What gender do you identify with?

Please specify your ethnicity:

Please specify your race:

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* 3. Please select your professional title from the list below:

Staff

Faculty

School of Medicine Faculty

Physician

Administrator

Undergraduate Student

Graduate Student

Rather not specify

Other (please specify)

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* 4. What would attending this workshop mean to you?

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* 5. Tell us a little about your prior meditation or mindfulness experience.

No Experience

Some Experience

Experienced, inconsistent practice

Experienced, regular ongoing practice

Long-time practitioner (over 10 years)

Other (please specify)

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* 6. What possible outcomes do you wish to see after completion of this workshop? (Can Select Multiple)

I would like to learn how compassion can impact stress relief

I would like to learn how compassion can help reduce burnout

I want to bring compassion into my workplace

I would like to obtain a better understanding of the science of compassion

I would like to obtain learn how to practice compassion through mindfulness

Other (please specify)

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* 7. Would receiving a scholarship impact your decision to attend this workshop?

Yes

Thank you for sharing your thoughts with us.

UC San Diego T. Denny Sanford Institute of Empathy & Compassion