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Question 1 of 11
Please Enter Your:1. Name2. Email address3. Date Of Birth4. Where Do you Live
Question 2 of 11
What Is Your Meditation Experience:
I have been practicing meditation on my own without a teacher (using books, video, audios, apps, etc.)
I have formally practiced meditation with a teacher
I Have No Meditation Experience
Question 3 of 11
How Long Have Your Been Practicing Meditation?
Less Than 1 Year
1 Year Or More
3 Years Or More
5 Years Or More
10 Years Or More
Question 4 of 11
What Kind Of Meditation Do You Practice
Mindfulness
Vipassana
Zen
TM
Samatha
Non-Dual
Guided Visualizations
Moving Meditation (Yoga, Martial Arts, Dance, Body Work, etc.)
Brainwave Entrainment, or Biofeedback
Other
Question 5 of 11
How Often Do You Practice?
Infrequently
Once a week
2 to 3 times per week
At least once a day
Twice a day
Question 6 of 11
Have You Practiced, Trained, Or Studied With Miles Kessler Before?
No
In Seminar Or Workshop
On Meditation Retreat
Meditation Course ("Meditation Discovery Cycle", "Meditation For Aikidoka", "Meditation For The Spiritual Warrior", "Evolution Of Response", "Buddhist Psychology", etc.)
1-On-1 Coaching
Question 7 of 11
Do You Currently Have Certification In Other Meditation Methods? (If yes, please specify. If no, please write "no")
Question 8 of 11
What Factors Have Influenced You In Choosing To Become A Certified Mindfulness Meditation Teacher?
Question 9 of 11
Please Chose Your Preferred Start Date Based On Our Upcoming Cohort Schedule:
Winter/ Spring 2022
Fall/ Winter 2022
Question 10 of 11
Your Successful Completion Of This Program Is Our Priority. If There Is Any Reason Why Completing This Program May Be Difficult Please Explain Below. If nothing then please enter "no." (we will always respect your confidentiality):
Question 11 of 11
By Clicking "I Accept" I Am Confirming That The Information In This Application Is True, Complete, And Accurate.
I Accept
I Don't Accept