Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you completed a Yoga or Meditation Teacher Training? *

Yes

No

How many hours training do you have?

200

500

800

1,000+

Do you actively teach?

Yes

No

Other*

How many years have you been teaching?

Under 1 year

1-3 years

3+ years

Do you have training or experience leading meditation?

Yes

No

Do you have training or experience leading pranayama or breathing techniques?

Yes

No

Have you taught yoga and/or meditation in the corporate setting before?

Yes

No

I am comfortable speaking in front of a group, public speaking, outside of a yoga or meditation studio.

(e.g. board room, off-site events, conferences}

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Have you had experience working in the corporate world?

(Not teaching yoga / meditation there)

Yes

No

If you are certified in the MINDFRESH approach + contacted by a company to teach MINDFRESH, will you agree to follow our guidelines?

Yes

No