Mindfulness Pre Course Questionnaire

All the information you provide here is just for me to assess whether this is a good time for you to participate in this course. I will not share these with anyone and it will be held in strictest confidence.

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