Mindfulness Survey

Mindfulness 2012 Survey

 
Thanks for coming by.

We're creating a new program, but we can't do it without you.

We'd like you to answer a few quick questions for us. We know your time is valuable, so we're giving you a free gift to show our appreciation.

You'll get "From Pre-occupation to Self-fulfillment: Lessons from Buddhist Psychology" with Ronald Siegel, PsyD.

Here's the survey - it won't take more than 5 minutes.
*
1. To what extent do you use mindfulness practices with your patients?
*
2. How comfortable are you talking about mindfulness with patients?
*
3. To what extent would you be interested in a series that focuses on topics related to mindfulness?
*
4. What are some questions or topics you would want addressed in a series like this?
*
5. What are some of your biggest challenges in using mindfulness in your work?
*
6. Who would you like to see as an expert in this series? (Please check all you'd like to hear.)
*
7. We'd like to get an idea of how practitioners are using mindfulness. Do you have a story about using mindfulness practices with your clients and patients that you could share with us?
*
8. What do you consider most valuable in a Gold Membership?
*
9. Please enter your name:
*
10. Please enter your email:
*
11. Please enter your profession:
Profession:
*
12. Please enter your city and state:
Powered by SurveyMonkey
Check out our sample surveys and create your own now!