9c MBSR Online Week 8 Completion Questionnaire Form
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MBSR 8-Week Program Completion Questionnaire

Thank you for completing the 8-week MBSR journey. As a next step, I invite you to take a few moments with this questionnaire. It’s designed to help you reflect on your experience and clarify your personal mindfulness intentions moving forward.

Please complete the questionnaire and return it to Karen by clicking the “Send” button at the bottom of this form.

⚠️ Important: Please complete the form in one sitting. Your responses are securely sent to Karen once you click “Send.” If you leave this page before sending, your information will not be saved and you will need to re-enter it.

You are welcome to be brief or more detailed in your answers — whatever feels most helpful for you.

I encourage you to save a copy of your responses to the questions as your own encouraging words to yourself!

Please be assured that your information will remain confidential and will not be shared with anyone else without your permission.

Thank you for taking the time to share your reflections — your MBSR experience is deeply valued.

    Optional: Your experience during MBSR can be inspiring for others to read who are interested in learning more about the benefits of the program. If it is okay for me to anonymously share your MBSR experience with others, please click YES below.

    Note: If you grant me permission to share your feedback, your name, age or any other identifiable features will not be used to protect your privacy.

    you have my permission to anonymously share my MBSR experience with others.

    When you are ready to submit your MBSR Week 8 Completion Questionnaire to Karen, please click on the SEND button below and your information will be transmitted over an encrypted connection.

    IMPORTANT: After clicking SEND below, please wait a moment for confirmation that your message has been sent before you navigate away from this page.