1
Full Name:
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2
Email Address:
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3
What country are you from?
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4
What is your occupation?
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6
Which meditation modalities have you used in the past or are currently using that have provided the best results?
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6
Have you ever sat a 10 Day Vipassana Meditation retreat before?
- A Yes
- B No
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6
Have you ever taught any form or modality of meditation?
- A Yes
- B No
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8
If yes, please elaborate on which type...
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9
What are you hoping to accomplish while sitting in this Vipassana meditation retreat?
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11
Do you agree to following the rules for the entirety of the 10 day program?
THE 5 PRECEPTS:
-To abstain from killing any being;
-To abstain from stealing;
-To abstain from all sexual activity;
-To abstain from telling lies;
-To abstain from all intoxicants, including coffee, plant medicines, alcohol, tobacco and anything else you feel could fall into this category.
ADDITIONAL RULES:
-To refrain from the use of WiFi, computers & mobile devices for anything outside of watching course content;
-To refrain from reading books and exposing yourself to any other content outside of the course material;
-To refrain from writing outside of the allotted time periods;
-To refrain from talking, touching, or having contact with any other human beings in your environment during this 10 day period;
-To refrain from eating anything outside of the allotted eating times;
-To refrain from doing any work or other activities that aren’t included in the 10-day program.
-To abstain from killing any being;
-To abstain from stealing;
-To abstain from all sexual activity;
-To abstain from telling lies;
-To abstain from all intoxicants, including coffee, plant medicines, alcohol, tobacco and anything else you feel could fall into this category.
ADDITIONAL RULES:
-To refrain from the use of WiFi, computers & mobile devices for anything outside of watching course content;
-To refrain from reading books and exposing yourself to any other content outside of the course material;
-To refrain from writing outside of the allotted time periods;
-To refrain from talking, touching, or having contact with any other human beings in your environment during this 10 day period;
-To refrain from eating anything outside of the allotted eating times;
-To refrain from doing any work or other activities that aren’t included in the 10-day program.
- A Yes
- B No
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11
Are you fully willing, and capable of sitting this 10 day retreat ?
- A Yes
- B No
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12
Vipassana is a serious endeavour, do you commit to completing this 10 day program and not deviating from the course instructions?
- A Yes
- B No
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13
Do you agree to follow, not just the letter, but also the spirit of these guidelines and rules?
- A Yes
- B No
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14
Are you ready to become an extremely powerful and capable human being?
- A Yes
- B No
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