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Image by Filip Zrnzević

Get Excited for Your Journey! Join us on the path to wellness with our Mindfulness Based Stress Reduction Course! Complete this pre-screening to kickstart your enrollment and take the first step toward a more  balanced life!

1-Medical History :

Relevant only to trauma counselling and the 8‑week MBSR course.

Do you have a heart problem?
Yes
No
Do you have blood pressure problems?
Yes
No
Do you have epilepsy?
Yes
No
Do you have diabetes?
Yes
No
Do you have chronic pain
Yes
No
Do you have any physical limitations?
Yes
No
Any previous overnight hospitalizations?
Yes
No
Do you take any prescription medication?
Yes
No

Mental Health History

Compulsory for Trauma Therapy/8 week MBSR training.

Have you experienced any recent traumatic events?
Yes
No
Do you still experience any current symptoms of PTSD (eg re-experiencing such as nightmares, intrusive memories or flashbacks; avoidance of reminders of the trauma; arousal symptoms such as severe anxiety, irritability or panic)?
Yes
No
Have you ever been diagnosed with any type of psychotic disorder?
Yes
No
Have you ever been diagnosed with bipolar disorder?
Yes
No
Do you have severe or untreated depression?
Yes
No
Do you suffer from severe anxiety?
Yes
No
Have you ever suffered from dissociation of any type, such as depersonalisation or derealisation, out of body experiences, dream-like experiences, flashbacks or periods of amnesia?
Yes
No
Have you ever attempted, or thought about attempting, to kill yourself or to harm yourself in any way or are you having any such thoughts at the moment?
Yes
No

Alcohol or Substance Dependence

Compulsory for Trauma Therapy /Eight week MBSR course

Are you currently actively using substances?
Yes
No

2. Anticipated Engagement in

Mindful practice

Please indicate your level of participation in the programme by selecting the relevant options below.

Mindful Training Services

Services
Image by Nathan Dumlao

Have Questions?

If you need more information about the program, please do not hesitate to reach out using the provided form.

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