MBSR Pre Course Form

The information provided from these questions is personal and sensitive in nature. I respect this and please be assured that it will be held strictest confidence only for your duration in the course. The information provided is to assess where this is an appropriate time for you to take the course.

Name *

NOTE: It is very important that you take good care of yourself during the course. If you have any difficulty with any of the exercises , you can stop for a while and carry on when you are ready. You are always welcome to talk to me if you have any questions that you may not wish to ask in the larger group.

I look forward to meeting you soon :)

- Clodagh