Client Intake Form

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To ensure a comfortable and supportive meditation experience, please let us know if you have any special needs or require specific accommodations:

Choose the option(s) that suits you and fill in the additional details below:

Hearing Requirements: Do you use any hearing aids or require auditory assistance? Mobility Assistance: Are there any mobility needs we should be aware of to provide a comfortable meditation environment?

Respiratory Considerations: Do you experience asthma or any other breathing issues that we should be mindful of during our sessions?

Physical Comfort: Are there any physical concerns or discomforts (e.g., chronic pain, injury) that might affect your meditation practice?

Emotional and Mental Well-being: If you have mental health conditions like PTSD, anxiety, or depression, please share this information. It helps us tailor our approach to support you better.