Mindful Living In San Luis Obispo

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Mindfulness Practice Group Form

Name *

First

Last

Email *

Phone number *

How do you prefer to be contacted? *

What is motivating you to join this group at this time? *

and full cost

Have you completed a MBSR course? *

If you've completed MBSR, please include year(s) and instructor(s). *

Describe your current mindfulness practice (type, duration and frequency). *

Share about any experience with mindfulness groups, classes and retreats. *

The cost for the 8 sessions is 200. Does this present a financial burden? *

If yes, please explain below or contact me at lauraliss@verizon.net to discuss options.

Print your full name below to act as your signature. *