Welcome to our ZaZen community.
Please take quiet time and space to answer these questions - Please answer with clarity and honesty to the best of your abilities. This will set the foundation for the best learning path to follow. (The information disclosed here is to be used exclusively for your own session and completely confidential). Minimum number of sessions required to enrol in the program is 4 sessions.
​
Have you done meditation before? YES/NO ~ If YES, which kind?
Have you been recommended to take meditation? ~ If yes, tell me more...
How is your overall health?
Have you been diagnosed with any physical disease that may affect or make challenging a meditation session? ~ If yes, tell me more...
Do you exercise? ~ If yes, what kind of exercise or activity?
Mental and Emotional Wellness
Do you find yourself anxious, stressed, depressed, or easily brought to annoyance or anger? ~ If yes, tell me more...
Have you been clinically diagnosed with any of the following: (check if)
Do you take any medication for physical and/or mental health? ~ If yes, provide a list of medications that you take regularly
Do you regularly take recreational drugs and/or pain killers?
Take this as an opportunity to bring awareness to areas of your life that may need more loving attention.and Emotional Wellness
1. What are you currently doing in your life that brings you peace, health, balance and/or nurtures your soul?
2. What would you like to get out of the private meditation program?
3. Where in your health, life, and relationships (to self and others) do you experience a lack of freedom, balance, and joy?
4. Which areas in your life are you most interested in bringing balance?
5. What changes would you like to see in your life? What would your life look like? How would you feel?
6. What would you be doing? What would be different? Visualize a picture of yourself.
7. What results do you want to produce in your physical body?
8. What results do you want to produce in regards to your mental and emotional well-being?
9. What do you want your spiritual life to look like?
10. How can I best support you in achieving these results?
11. What would you have to give up to have the results you are looking to see?
By registering as a participant of ZaZen Studio Private Meditation Program, I agree to the following:
A. 24-Hour Cancellation Notice is required. Otherwise a full payment rescheduling fee will be charged.
B. Payment of $145.00 plus tax is to be paid in full prior to your session.
By signing below I acknowledge and voluntarily agree to the terms and conditions stated above.
Submit
