Application for Meditation Classes Name* First Email* PhonePlease enter your phone number if you would prefer to be contacted by phone.What do you want meditation to do for you?*What would your life be like if your answer to the above question was done?*What's getting in the way of you having a meditation practice?*How do you see me helping you?*What prior experience, if any do you have with meditation?*On a scale of 1-10 (1 being barely motivated, 10 being highly motivated) how motivated are you to take action now?*What questions do you have for me?*NameThis field is for validation purposes and should be left unchanged.