New Member QuestionnaireWelcome to EastWesticism! Please help us get to know you a little bit before your first class so that we can make sure your experience is as rewarding as possible. Please only answer questions you feel comfortable with.Please enable JavaScript in your browser to complete this form.How are you sleeping? (10 being the best) Selected Value: 0 How many hours of sleep do you get on average per night? Selected Value: 0 How are your stress levels? (10 being the most stressed) Selected Value: 0 What are your main causes of stress?Have you recently suffered from any physical or psychological trauma?YesNoIf so, would you be comfortable sharing with us what happened?How would you describe your overall mental health and well-being?IncredibleGreatGoodOKNot so goodBadTerribleDo you have any physical or mental conditions you’d like us to be aware of?YesNoIf so, what?What is your general level of happiness?EcstaticVery HappyHappyOKNot HappyVery SadSevere DepressionHow often do you drink, smoke tobacco or use recreational drugs?Do you have any addictions that you are currently working on?What is the reason or reasons you want to meditate?Have you tried meditation before? If so, what kind and where?How did you hear about us?Submit
