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Thank you for booking a Coaching Session. I look forward to meeting with you.

You matter. Taking a couple of minutes to complete the questions below helps to provide the best possible service for you. If you have already completed this form at a previous session there is no need to do it again.

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Name

What is your experience in meditation and mindfulness so far?

What is your primary aspiration or motivation for our coaching sessions?

Are there any areas of mindfulness you would particularly like to explore? For example, managing thoughts in meditation, softening limiting beliefs, developing self compassion, creating calm and ease, or anything else?

Are you experiencing depression, anxiety or panic attacks?

Are you experiencing, or have you recently experienced suicide ideation?

Is there anything else you would like to share?

What is your country of residence?

How did you hear about me?

Please Note

Asha offers mindfulness coaching and mentoring and does not diagnose or
treat disease, prescribe medication, or perform the functions of
clinical occupations. In most cases mindfulness can be a very useful partner to clinical care, however there are some rare exceptions. If you are receiving clinical support, please speak with your health professional about incorporating mindfulness into your healing journey.