New Member Background Questionnaire

The information you provide on this form will be held in confidence by CSS. We ask you to provide this information so that we can serve you better.


Which course have you just registered for?(*)

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Please provide your full name.(*)

Please let us know your name.

Enter your email address. Please double-check to make sure it is correct.(*)

Please let us know your email address.

Please let us know where you are located (city, state, country).

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What is your approximate age?

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Gender identification

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Please tell us about your current and past occupations, your educational background, and life experience.

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Please describe your childhood religious/spiritual upbringing, and in what ways your experience was positive, negative, or indifferent.

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Please indicate any religious or spiritual tradition(s) you have been involved with as an adult, and describe the ways your experience has been positive, negative, or indifferent.

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Briefly describe any meditation or prayer practices you have undertaken in a disciplined way, and for how long.

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If you have ever experienced what you consider to be a spiritual dream, please describe the most significant one.

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Please review all the information above, then click Send to submit this form