YOUR DETAILS:
EMERGENCY CONTACT DETAILS:
ABOUT YOU:
HEALTH & WELLBEING:
Do you expereince any of the following?
NEURODIVERSITY & ACCESSIBILITY:
Peace of Mind aims to be inclusive and supportive of all needs. If you are neurodivergent and feel comfortable sharing, please let me know how I can adapt sessions to best support you:
MENTAL HEALTH CONSIDERATIONS:
Meditation can be a powerful tool for wellbeing. However, if you are currently under the care of a mental health team or healthcare provider, or have been diagnosed with any of the following conditions, we ask that you obtain their consent before attending:
Do you expereince any of the following?
If you ticked any of the above, please either:
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Provide a letter from your mental health team/healthcare provider, OR
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Sign the declaration below to confirm you have verbal consent:
HEALTH CONSIDERATIONS FOR BREATHWORK:
To ensure your experience is safe and supportive, please let me know if any of the following apply:
If any of these apply, please consult a healthcare professional before beginning meditation or breathwork. Let me know as well, so I can help you adapt your practice in a way that feels safe and supportive for you.
DECLARATION:
I confirm that I have informed my mental health team/healthcare provider that I am attending meditation sessions. I agree to notify them if my health or symptoms change during the course.
GDPR & DATA PROTECTION:
