New Class Member

Name *

First Name

Last Name

Have you done any meditation before? *

No

Yes, I've done online/app guided meditations

Yes, I've attended meditation classes

Yes, as part of a yoga class

The 3 main stressors in your life are: *

Select 3

Work

Health problems

Balance

Family

Relationship

Sleep

Finances

Time Management

Committments

Anxiety/Overwhelm

You wish you had more of this in your life: *

Select 3

Energy

Money

Health

Calm

Sleep

Self-Care

Time

Exercise / Movement

Family Time

Romance

Time with friends

Creativity

Support

Happiness

Would you like to be kept in the Project Soul loop and receive the monthly newsletter? *

Yes please

No thanks