MBSR application form

    Note: If you’re attending an MBSR course, please make sure you’ve filled out this MBSR application form, thank you.

    Please note that all client information will be stored confidentially and under GDPR regulations.

    Do you have any experience of mindfulness/meditation?

    YesNo

    Are you currently, or were you previously, attending a therapist/counsellor or psychiatrist?

    YesNo