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Mindful Connections Youth Program Registration

Are you currently in counseling?
What kind of loss have you experienced? (select all that apply)
What kinds of social pressures/issues do you feel? (Pick all that apply)
Have you experienced any traumatic events?
Have you ever attempted or considered harming yourself?
Do you experience fighting in your household?
Are you currently taking medications for depression, anxiety, or other mental health issues?
Do you currently practice yoga?
Do you have any injuries or disabilities that will affect your practice?
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