Exit this survey Mindful Music & Meditation Mondays In order to complete your registration, Please read the following waiver and indicate below you have read and understood this document. Question Title * 1. I understand by agreeing, my signature is being transferred electronically, and I will not challenge the validity of the signature in any legal proceeding in which this document may be offered or used. Yes No Question Title * 2. Which Mindful Music & Meditation drop-in sessions do you plan on attending? Monday, November 6, 2:30-3:00pm, Semel Auditorium Monday, November 13, 2:30-3:00pm, Semel Auditorium Monday, November 20, 2:30-3:00pm, Semel Auditorium Monday, November 27, 2:30-3:00pm, Semel Auditorium Monday, December 4, 2:30-3:00pm, Semel Auditorium Monday, December 11, 2:30-3:00pm, Semel Auditorium AS MANY AS I CAN Question Title * 3. Last Name Question Title * 4. First Name Question Title * 5. University ID No. Question Title * 6. Email Question Title * 7. Department Question Title * 8. Are you a UCLA Health/Med Center staff member? Yes No Question Title * 9. How long have you been attending Fitzone Classes? I am new to Fitzone classes and will be attending for the first time 1-2 quarters 1 year 1.5 years 2 years 3 years 4 years or more Question Title * 10. Have you ever attended a Mindful Music Session No, this will be my first experience with Mindful Music Yes, I have attended a Mindful Music event before Thank you for planning to attend! We hope you enjoy the rest, relaxation and healing benefits of live, classical music and meditation. REGISTER