Please enable JavaScript in your browser to complete this form.Full Name *FirstLastEmail *Contact No.Please select:8-week Private 1:1 Online Course8-week Private 1:1 In-Person CourseHave you ever attended any mindfulness courses before? Please give details of previous courses attended. *Why did you register for the course?Only fill this if you are registering for the 8-week mindfulness courseWhat do you expect to get from this course?Only fill this if you are registering for the 8-week mindfulness courseMajor changes you have experienced in the past 2 years?Only fill this if you are registering for the 8-week mindfulness course5 things you would like to change to achieve more happiness/well-being:Only fill this if you are registering for the 8-week mindfulness coursePercentage of time that you feel is truly your life:Only fill this if you are registering for the 8-week mindfulness courseAny Other Comments: WebsiteSubmit