Mindful Self Compassion Questionnaire

Please note:This information will only be read by the course instructors. lf you feel uncomfortable answering any questions, please note that on the form and we can have a private conversation before the program begins. Leaving a question blank will have no impact on inclusion in the program. Thank you.

Please understand that the Orientation session and Session #1 are both mandatory to attend. There is a lot of information in both these classes and we are also building a safe emotional environment for all the participants as a group. Missing either of these classes or missing 3 classes in a row you will be declined from the program. Thank you for understanding.

I am planning to participate in the entire course (including the retreat), and to practice mindful self-compassion at least 30 min/day (formally or informally).