COMING HOME to SELF - MANDALA WORKSHOP

APPLICATION QUESTIONNAIRE

 

 

PLEASE NOTE: your completing this questionnaire is optional. However, it is designed to help ensure this workshop’s suitability for you – and attune it to participants’ general requirements. Therefore, completing this sheet will be much appreciated – and treated in confidence. Please enclose with your booking form. Many thanks.

 

 

·      What was it that attracted you to this workshop?

 

 

 

·      To help maximise the rewards of this workshop for you, please give an idea of your expectations – and what you would like to gain from attending:

 

 

 

·      As a basic VISUAL imagination is required, do you consider yourself able to imagine in picture form?

 

     (please tick ü one)   YES     UNSURE     NO

 

 

·       Are you at ease with self-reflection?  (please tick ü one)   YES     UNSURE     NO

 

 

·      What is your experience of sitting still and/or meditating/reflecting inwardly?   Please summarise.

 

 

 

·      (Briefly) what you consider the phrase  ‘coming home to self’  to mean?

 

 

 

 

·      (Briefly) where do you consider you are, in terms of your journey/process of ‘coming home to self’?

 

 

 

 

·      Are you at present, or have you in the past, received any psychiatric/psychological treatment? Otherwise, are you suffering from any kind of psychological/emotional confusion/breakdown at present? If ‘YES’ to either/both (as this may need to be taken into consideration), please briefly summarise:

 

 

 

 

·      Do you have any experience of participating in small groups?

 

     (please tick ü one)   YES – considerable          YES – a little           NO – none at all

 

 

·      Have you any specific practical requirements? 

 

 

 

·      Is there anything else you wish to say regarding your participation in this workshop?