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Art of Sacred Listening Retreat Registration

Is it okay to leave a private voice message?
What is the best way to contact you?
Marital Status
Do you have children?
Have you ever participated in a Mindful Grieving Program in the past?
Food Restrictions
Food Preferences
Do you have a regular meditation practice?
Do you have any experience teaching or participating in yoga therapy for grief programs?
Do you want to facilitate community circles upon successful completion of this program?
What kind of loss have you experience (select all that apply)?
When did your loss(es) occur?
Have you had more than one loss in the past 5 years?
Are you currently in counseling?
Have you experience any events that you would consider traumatic, whether related to this loss or not?
Have you ever attempted or considered suicide?
Are you currently taking medications for depression, anxiety, or other mental health issues?
Have you ever been hospitalized for psychiatric or other reasons?
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