meditation mentorship INTAKE Name * First Name Last Name Email * Birth Information (optional) I like to look at astrological and human design profiles. It gives me an overview of what might make you tick and what rough behavior patterns you may be pre-disposed to. If you'd like to review astro report please fill in the following birth details. Please share your starting point - your inquiry, goals or dreams. What would you like your practice to be like and how is that compared to your current practice? What are your goals for Guided Meditation? Emotional Balance Spiritual Connection Relaxation Grief Integration Mental Clarity Peace of Mind Stress Reduction Improve Sleep Break a Habit Physical Healing Pain Relief Which of the following meditation techniques most interest you? Guided relaxation, body scan Guided one pointed concentration Pranayama (breathing techniques) Guided visualization Subtle body attunement (chakras/meridians) Mantra (internally or externally repeating a word or phrase) Kriya Yoga (breath work combined with repetitive movements) Movement meditation or Walking meditation Mudras (holding specific hand positions) Compassion or gratitude focus Universal consciousness focus What meditation position suits your body? Seated on the ground or cushion Seated in a chair or sofa Fully reclined Walking in nature How much time would you like to dedicate to your practice? 5 mins 10 mins 15-20 mins 30 mins Daily Every other day Couple times a week Weekly If comfortable, please share your spiritual beliefs / practices / affiliations. Is your belief a source of support to you? Thank you for filling out the mentorship form. If you haven’t done so yet, please schedule a call with Vanda to discuss the next steps of your meditation practice path.