Group Mindfulness Mentorship Survey

Name *
For future, in-person events in your area. Please spell the full city name, e.g: "Los Angeles."
Areas of interest *
Meeting Time/Day - Please choose the best, second best, and third best time you could meet with this group. Groups meet weekly for 3-month semesters. The group will begin when the time slot is filled. All times are in EST.
If you cannot make any of the above times, please list all times/days you could meet.
In an ideal world, we would be able to offer this program to anyone regardless of their ability to pay. But it is also important that Group Mentorship is sustainable so we can offer long term support. We will select group participants based on a balance between suitability, ability to contribute meaningfully to the group, and level of ability to pay for the program. Please indicate what fee level you honestly feel able to manage. An installment program is available.
Thank you for your interest in Group Meditation Mentorship. Once you submit this form, you will receive an email with more information. We're so looking forward to hearing from you.