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Application for The Executive Meditation Programme

Please complete the application for below. If you have any questions you can drop me a line at: simon@klarosity.com or 07465 663 740.

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Which of these is your biggest bottleneck right now?
Stress / Burnout
Cognitive Overload
Mind Wandering / Procrastination
Tunnel Vision / Cognitive Stagnation
Empathy Fatigue
On a scale of 1 to 10, how serious are you about fixing the problem in the next 30 days? (1 = Mildly Serious 10 = Extremely Serious)
This is a high-touch programme involving weekly sessions and personalised support. The investment is £1000. Is this within your budget?
Yes
No
I need to check with my Company
If accepted onto the programme, can you start next week?
Yes
No
Are you undergoing professional medical care for Clinical Depression, Bipolar Disorder, Epilepsy, Schizophrenia or PTSD?
Yes
No
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