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Why are you interested in participating in this program? (Please be advised that MSC is designed for personal growth and development.)*
How would you describe your physical health (i.e excellent, good, fair, poor)*
Have you ever been in (psycho-)therapy? (If so, please provide some more information on why, since when and if therapy or the reasons for therapy extend to the present.)*
Are you currently taking psychoactive medication, or any medication that may affect how you feel from one week to the next? (If so, please provide details.)*
Is there anything else that would be helpful for the instructors to know at this time?
Please describe prior experience with meditation, mindfulness and/or compassion training (if any).*
Do you work as a professional with mindfulness and/or compassion? If yes, could you give a short description?*
I understand that my participation in this program is entirely voluntary and I am free to withdraw at any time without penalty or prejudice, except for the non-refundable course fee. At the present time, however, I am planning to participate in the entire course.

Mindfulness voor iedere dag – 7 tips

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15 december 2019

Mila de Koning

Mindfulness Centrum Alphen
Javastraat 7
2405 CS Alphen aan den Rijn