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Private Individual Insight Meditation
Coaching Session Intake Form
For your privacy, your answers are held in strict confidentiality.
First and Last Name
Email
Phone
How did your hear about Miles? Have you read any of his books? Listened to his guided meditations or talks? Or taken the online Conscious Communication Course?
What is your experience with Meditation? Do you currently have a practice or are you new to it?
Have you had private coaching before? How was that for you?
What is your primary reason and motivation to have a private Insight Meditation Coaching Session?
Are you looking for an in-person or online session(s)? What dates are you available? (In-person sessions are available in San Rafael, CA, depending upon Miles' travel schedule.)
Submit
Thank you for completing our intake form.
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