TM Interview Form

TM for Women Aotearoa New Zealand Inc

TRANSCENDENTAL MEDITATION

Please complete this form as a step towards personal instruction in Transcendental Meditation, as taught by Maharishi Mahesh Yogi. This information will be kept confidential and is being collected for the purpose of keeping you informed about future activities of the organisation. This information may also be used for statistical purposes.

TM Interview Form

"*" indicates required fields

Please enter a number from 1900 to 2022.
Please enter a number from 0 to 120.

Employed/Studying

Are you under 18 years of age and living with your parents/caregivers?*

What is your present state of mind?
Do you sleep well?
Have you had any prolonged physical condition?
Such as heart trouble, respiratory trouble, etc

Have you ever taken any non-prescribed drugs?
e.g. Marijuana
Have you ever been (or are you now) under the care of a psychiatrist or on any other psycho-therapeutic programme?

The above information is furnished voluntarily by me in requesting an interview preceding personal instruction with a teacher trained by Maharishi Mahesh Yogi. I wish to begin the unique practice of Transcendental Meditation to further my own personal development. I realise the importance of verification and intellectual understanding of experiences in Transcendental Meditation and its effects in daily life, and therefore I will attend the necessary sessions during the first four days of personal instruction. I further realise the importance of subsequent follow-up sessions which may be necessary to ensure maximum progress.

I agree that all instruction in Transcendental Meditation is for my own personal use, and in order to ensure the effectiveness of the teaching, I agree that I will not directly or indirectly impart or disclose to anyone the mantra I receive or its instructed use. I further agree that I will not disclose, publish, or in any way attempt to instruct or impart the technique of Transcendental Meditation.
Yes, I have read and understood the paragraphs above and agree*

Transcendental Meditation®, founded by Maharishi Mahesh Yogi® is available in New Zealand from TM for Women NZ, Registered NZ Educational Charity Number CC41429 & Maharishi Foundation Inc. New Zealand CC10445.

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