Enter Zen Here, LLC

Full Name *

Email *

Prior Meditation APPs: (name & what you enjoyed/didn’t about them). *

Prior Teachers worked with AND any notes you'd like to mention: *

Prior Meditation experience: (include time duration/techniques) *

I'm interested in learning how to Meditate OR in attending a Meditation Retreat because/to help with: *

To customize YOUR Blueprint, I'll need to know a bit about you and how you connect to your sensory system.

I enjoy listening to music/sounds of nature/rain/birds. *

Yes

Sometimes

I'm interested in learning more about Sound Meditation.

I enjoy looking at Art, Colorful things, Sunsets, Beauty, Nature. *

Yes!

I'd like to explore the Visual range more via Meditation.

I prefer eye-closed Meditation Practices.

I have a great Imagination. *

Yes

I'm interested in learning more about Imagination as a Meditation.

I'd rather focus on more traditional types of Meditation.

I dig spending time with myself. *

Yes

Not often enough.

I get enough time to myself, so I'd love to explore community-oriented Meditation practices.

I enjoy how my body feels in free flow movement or dancing. *

Yes

No/Not really interested.

I'd like to learn more about Movement Meditation practices.

I enjoy savory, delicious, nourishing food. *

Absolutely!

Not sure how this relates to mediation but I'm interested to find out.

Food is not a topic I'm ready to explore (at this time) via Meditation.

I enjoy feeling my heartbeat/breath/hand on my chest/belly; playing instruments; petting a dog; the rain/wind; clothing textures; digging my hands in dirt/bread/cookie dough. *

Yes

Sometimes

I'm interested in how physical sensation relates to Meditation.

Other

I often giggle at my inner dialogue and can get a kick out of laughing with/at my ego. *

Yes

No

I'd like to learn more about ego-work and Meditation.

I enjoy how my body feels both physically and emotionally when I'm happy/excited/curious/having fun. *

Yes

Sometimes, and I'd like to explore this more via Meditation.

I can get lost in negative or anxious thoughts and I'd like to see how Meditation might help with that.

I often enjoy and feel energized by the flow of my emotions. *

Yes

I'd like to learn more about EIQ (emotional intelligence quotent).

Other

Which sensory system do you MOST easily connect to or identify through? *

Visual

Auditory

Somatic

I'm ready to invest some uninterrupted time on Meditation and take my practice to the next level to experience all the benefits it offers: *

Absolutely!

No, I'm happy with the results I'm getting through my current practices.

No, I'm quite happy where I'm at right now.

If you had a magic wand on this call and could ask anything about Meditation OR would like to get something particular out of it ... what would it be? *

Anything else you'd like me to know before our call? *

Click the "submit" button & Anita's calendar will pop up for you to select a convenient timeslot for your call.

Thank you! Look forward to chatting with you soon!

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