{"id":10789,"date":"2019-11-04T14:02:49","date_gmt":"2019-11-04T19:02:49","guid":{"rendered":"https:\/\/www.ramapo.edu\/kramecenter\/?page_id=10789"},"modified":"2019-11-04T14:02:49","modified_gmt":"2019-11-04T19:02:49","slug":"5-day-famework-for-mindful-living-application","status":"publish","type":"page","link":"https:\/\/www.ramapo.edu\/mindfulness\/5-day-famework-for-mindful-living-application\/","title":{"rendered":"5-Day Famework for Mindful Living Application"},"content":{"rendered":"\t\t<script type=\"text\/javascript\">\n\t\t\tjQuery(document).ready(function(){\n\t\t\t\tvar prmstr = window.location.search.substr(1);\n\t\t\t\tvar prmarr = prmstr.split (\"&\");\n\n\t\t\t\tfor ( var i = 0; i < prmarr.length; i++)\n\t\t\t\t{\n\t\t\t\t\tvar tmparr = prmarr[i].split(\"=\");\n\t\t\t\t\tvar origVal = decodeURIComponent(tmparr[1]);\n\t\t\t\t\tvar modifier = origVal.substr(0,1);\n\t\t\t\t\tvar theField = jQuery(\"#\"+tmparr[0]);\n\t\t\t\t\tif(modifier == '^')\n\t\t\t\t\t{\n\t\t\t\t\t\tvalue = origVal.substr(1);\n\t\t\t\t\t\ttheField.attr('readonly','readonly');\n\t\t\t\t\t}\n\t\t\t\t\telse\n\t\t\t\t\t{\n\t\t\t\t\t\tvalue = origVal;\n\t\t\t\t\t}\n\t\t\t\t\ttheField.val(value);\n\t\t\t\t}\n\t\t\t});\n\t\t<\/script>\n\t\t<link rel='stylesheet' id='formidable-css' href='https:\/\/www.ramapo.edu\/mindfulness\/wp-admin\/admin-ajax.php?action=frmpro_css&#038;ver=3131337' type='text\/css' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_21_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_5xxbb222\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">5-Day Framework for Mindful Living Application<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"21\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_21\" id=\"frm_hide_fields_21\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"5xxbb222\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_21\" name=\"frm_submit_entry_21\" value=\"9d4010a69d\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/mindfulness\/wp-json\/wp\/v2\/pages\/10789\" \/><div id=\"frm_field_604_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_tdmrq42\">First and Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tdmrq42\" name=\"item_meta[604]\" value=\"\"  style=\"width:350px\" data-reqmsg=\"First and Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"First and Last Name is invalid\" class=\"auto_width\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_605_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_w2wmw42\">Home Phone Number (with area code)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_w2wmw42\" name=\"item_meta[605]\" value=\"\"  style=\"width:115px\" data-reqmsg=\"Home Phone Number (with area code) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone Number (with area code) is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_606_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_s4cfs3\">Work Phone Number (with area code)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_s4cfs3\" name=\"item_meta[606]\" value=\"\"  style=\"width:115px\" data-reqmsg=\"Work Phone Number (with area code) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Work Phone Number (with area code) is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_607_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_2wnyd3\">Cell Phone Number\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_2wnyd3\" name=\"item_meta[607]\" value=\"\"  style=\"width:115px\" data-reqmsg=\"Cell Phone Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cell Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_608_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_vhaxj42\">Email Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_vhaxj42\" name=\"item_meta[608]\" value=\"\"  style=\"width:350px\" data-reqmsg=\"Email Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Address is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_609_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_nyv2s3\">What is your occupation?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_nyv2s3\" name=\"item_meta[609]\" value=\"\"  data-reqmsg=\"What is your occupation? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your occupation? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_610_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_csvzh3\">Date of Birth\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_csvzh3\" name=\"item_meta[610]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_611_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_3lyr3\">What is your main reason for taking this course?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[611]\" id=\"field_3lyr3\" rows=\"5\"  data-reqmsg=\"What is your main reason for taking this course? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your main reason for taking this course? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_662_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_ma3xi\">If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply). \r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_662-0\">\t\t\t<label  for=\"field_ma3xi-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[662][]\" id=\"field_ma3xi-0\" value=\"Gluten Free\"  data-reqmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  cannot be blank.\" data-invmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  is invalid\"   aria-required=\"true\"  \/> Gluten Free<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_662-1\">\t\t\t<label  for=\"field_ma3xi-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[662][]\" id=\"field_ma3xi-1\" value=\"Dairy Free\"  data-reqmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  cannot be blank.\" data-invmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  is invalid\"   \/> Dairy Free<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_662-2\">\t\t\t<label  for=\"field_ma3xi-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[662][]\" id=\"field_ma3xi-2\" value=\"Vegetarian\"  data-reqmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  cannot be blank.\" data-invmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  is invalid\"   \/> Vegetarian<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_662-3\">\t\t\t<label  for=\"field_ma3xi-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[662][]\" id=\"field_ma3xi-3\" value=\"Vegan\"  data-reqmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  cannot be blank.\" data-invmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  is invalid\"   \/> Vegan<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_662-4\">\t\t\t<label  for=\"field_ma3xi-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[662][]\" id=\"field_ma3xi-4\" value=\"None\"  data-reqmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  cannot be blank.\" data-invmsg=\"If you are accepted to this course, do you have any Dietary Restrictions? (check all that apply).  is invalid\"   \/> None<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_612_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_4ih1k3\">Family Information (please check one)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-0\">\t\t\t<label  for=\"field_4ih1k3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-0\" value=\"Single\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   aria-required=\"true\"  \/> Single<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-1\">\t\t\t<label  for=\"field_4ih1k3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-1\" value=\"Married\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   \/> Married<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-2\">\t\t\t<label  for=\"field_4ih1k3-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-2\" value=\"Not Married, Living with Partner\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   \/> Not Married, Living with Partner<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-3\">\t\t\t<label  for=\"field_4ih1k3-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-3\" value=\"Separated\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   \/> Separated<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-4\">\t\t\t<label  for=\"field_4ih1k3-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-4\" value=\"Divorced\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   \/> Divorced<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_612-5\">\t\t\t<label  for=\"field_4ih1k3-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[612][]\" id=\"field_4ih1k3-5\" value=\"Widowed\"  data-reqmsg=\"Family Information (please check one) cannot be blank.\" data-invmsg=\"Family Information (please check one) is invalid\"   \/> Widowed<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_613_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_5oiuc3\">Do you have children?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_613-0\">\t\t\t<label  for=\"field_5oiuc3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[613][]\" id=\"field_5oiuc3-0\" value=\"Yes\"  data-reqmsg=\"Do you have children? cannot be blank.\" data-invmsg=\"Do you have children? is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_613-1\">\t\t\t<label  for=\"field_5oiuc3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[613][]\" id=\"field_5oiuc3-1\" value=\"No\"  data-reqmsg=\"Do you have children? cannot be blank.\" data-invmsg=\"Do you have children? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_614_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_gvxwa3\">If so, how many & what are their ages?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_gvxwa3\" name=\"item_meta[614]\" value=\"\"  data-invmsg=\"If so, how many &amp; what are their ages? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_615_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_uoi6i3\">Do you have close friends?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_uoi6i3\" name=\"item_meta[615]\" value=\"\"  data-reqmsg=\"Do you have close friends? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you have close friends? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_616_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Health Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_617_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_aq6kk3\">Do you take prescription medications? (Please list)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[617]\" id=\"field_aq6kk3\" rows=\"5\"  data-sectionid=\"616\"  data-reqmsg=\"Do you take prescription medications? (Please list) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you take prescription medications? (Please list) is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_618_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_tbwvt3\">What is your sleep quality?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[618]\" id=\"field_tbwvt3\" rows=\"5\"  data-sectionid=\"616\"  data-reqmsg=\"What is your sleep quality? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What is your sleep quality? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_619_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_cyuui3\">Do you smoke?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_cyuui3\" name=\"item_meta[619]\" value=\"\"  data-sectionid=\"616\"  data-reqmsg=\"Do you smoke? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you smoke? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_620_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_wzy8d3\">How many caffeinated drinks per day?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_wzy8d3\" name=\"item_meta[620]\" value=\"\"  data-sectionid=\"616\"  data-reqmsg=\"How many caffeinated drinks per day? cannot be blank.\" aria-required=\"true\" data-invmsg=\"How many caffeinated drinks per day? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_621_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_30xvp3\">Do you exercise?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_30xvp3\" name=\"item_meta[621]\" value=\"\"  data-sectionid=\"616\"  data-reqmsg=\"Do you exercise? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you exercise? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_622_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_z79793\">Do you use drugs or alcohol? How much?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[622]\" id=\"field_z79793\" rows=\"5\"  data-sectionid=\"616\"  data-reqmsg=\"Do you use drugs or alcohol? How much? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you use drugs or alcohol? How much? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_623_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_qdf243\">Do you have a history of substance abuse?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[623]\" id=\"field_qdf243\" rows=\"5\"  data-sectionid=\"616\"  data-reqmsg=\"Do you have a history of substance abuse? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Do you have a history of substance abuse? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_624_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_8gk0d3\">Are you currently engaged in psychotherapy?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_624-616-0\">\t\t\t<label  for=\"field_8gk0d3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[624][]\" id=\"field_8gk0d3-0\" value=\"Yes\"  data-sectionid=\"616\"  data-reqmsg=\"Are you currently engaged in psychotherapy? cannot be blank.\" data-invmsg=\"Are you currently engaged in psychotherapy? is invalid\"   aria-required=\"true\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_624-616-1\">\t\t\t<label  for=\"field_8gk0d3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[624][]\" id=\"field_8gk0d3-1\" value=\"No\"  data-sectionid=\"616\"  data-reqmsg=\"Are you currently engaged in psychotherapy? cannot be blank.\" data-invmsg=\"Are you currently engaged in psychotherapy? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_625_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_e2fv82\">If no, have you been in therapy during the last three years?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_e2fv82\" name=\"item_meta[625]\" value=\"\"  data-sectionid=\"616\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_626_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_vspfa3\">Any previous overnight hospitalizations for Psychological within the past year?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_vspfa3\" name=\"item_meta[626]\" value=\"\"  data-sectionid=\"616\"  data-reqmsg=\"Any previous overnight hospitalizations for Psychological within the past year? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Any previous overnight hospitalizations for Psychological within the past year? is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_627_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_e3dpa3\">During the last MONTH have you: (check all that apply)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-0\">\t\t\t<label  for=\"field_e3dpa3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-0\" value=\"Considered suicide?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   aria-required=\"true\"  \/> Considered suicide?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-1\">\t\t\t<label  for=\"field_e3dpa3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-1\" value=\"Sought psychiatric help?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> Sought psychiatric help?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-2\">\t\t\t<label  for=\"field_e3dpa3-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-2\" value=\"Had thoughts of death or dying?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> Had thoughts of death or dying?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-3\">\t\t\t<label  for=\"field_e3dpa3-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-3\" value=\"Had urges to beat, injure or harm someone?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> Had urges to beat, injure or harm someone?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-4\">\t\t\t<label  for=\"field_e3dpa3-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-4\" value=\"Had urges to smash or break things?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> Had urges to smash or break things?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-5\">\t\t\t<label  for=\"field_e3dpa3-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-5\" value=\"Has spells of terror or panic?\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> Has spells of terror or panic?<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_627-616-6\">\t\t\t<label  for=\"field_e3dpa3-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[627][]\" id=\"field_e3dpa3-6\" value=\"None of the above\"  data-sectionid=\"616\"  data-reqmsg=\"During the last MONTH have you: (check all that apply) cannot be blank.\" data-invmsg=\"During the last MONTH have you: (check all that apply) is invalid\"   \/> None of the above<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_629_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Please take a moment to respond to the following questions.<\/h3>\r\n\r\n\r\n<div id=\"frm_field_630_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_nv82a3\">What do you care about most?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[630]\" id=\"field_nv82a3\" rows=\"5\"  data-sectionid=\"629\"  data-reqmsg=\"What do you care about most? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What do you care about most? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_631_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_3gngf3\">What gives you the most pleasure in your life?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[631]\" id=\"field_3gngf3\" rows=\"5\"  data-sectionid=\"629\"  data-reqmsg=\"What gives you the most pleasure in your life? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What gives you the most pleasure in your life? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_632_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_46swx3\">What are your greatest worries?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[632]\" id=\"field_46swx3\" rows=\"5\"  data-sectionid=\"629\"  data-reqmsg=\"What are your greatest worries? cannot be blank.\" aria-required=\"true\" data-invmsg=\"What are your greatest worries? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_633_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_r0lan3\">Please tell us how you heard about the MBSR Program at the Mindfulness at 69色情视频.\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[633]\" id=\"field_r0lan3\" rows=\"5\"  data-sectionid=\"629\"  data-reqmsg=\"Please tell us how you heard about the MBSR Program at the Mindfulness at 69色情视频. cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please tell us how you heard about the MBSR Program at the Mindfulness at 69色情视频. is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_635_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Please list three personal goals you have for taking the MBSR Course.<\/h3>\r\n\r\n\r\n<div id=\"frm_field_636_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_bhunb3\">Goal #1\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[636]\" id=\"field_bhunb3\" rows=\"5\"  data-sectionid=\"635\"  data-reqmsg=\"Goal #1 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Goal #1 is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_637_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_5otj3\">Goal #2\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[637]\" id=\"field_5otj3\" rows=\"5\"  data-sectionid=\"635\"  data-reqmsg=\"Goal #2 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Goal #2 is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_638_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_l41jr3\">Goal #3\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[638]\" id=\"field_l41jr3\" rows=\"5\"  data-sectionid=\"635\"  data-reqmsg=\"Goal #3 cannot be blank.\" aria-required=\"true\" data-invmsg=\"Goal #3 is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_640_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Informed Consent Agreement<\/h3>\r\n<div id=\"frm_desc_field_or2h3\" class=\"frm_description frm_section_spacing\">The risks, benefits and possible side effects of the Stress Reduction Program were explained to me.  This includes skill training in meditation methods as well as gentle stretching (yoga) exercises. I understand that if for any reason I am unable to, or think it unwise to engage in these techniques and exercises either during the sessions at 69色情视频 or elsewhere, I am under no obligation to engage in these techniques nor will I hold the above named facility liable for any injury incurred from these exercises.\r\n\r\nFurthermore, I understand that I am expected to attend all 5 daylong sessions and to practice assignments given during the duration of the training program.\r\n<\/div>\r\n\r\n<div id=\"frm_field_641_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_iavul3\">By entering your name here, you have read and agree to the above Informed Consent Agreement\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_iavul3\" name=\"item_meta[641]\" value=\"\"  data-sectionid=\"640\"  data-reqmsg=\"By entering your name here, you have read and agree to the above Informed Consent Agreement cannot be blank.\" aria-required=\"true\" data-invmsg=\"By entering your name here, you have read and agree to the above Informed Consent Agreement is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_642_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_69qy03\">Today's Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_69qy03\" name=\"item_meta[642]\" value=\"\"  data-sectionid=\"640\"  maxlength=\"10\" data-reqmsg=\"Today&#039;s Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date (mm\/dd\/yy) is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_644_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top\">Email Communication Consent<\/h3>\r\n<div id=\"frm_desc_field_gcglw3\" class=\"frm_description frm_section_spacing\">As a participant in the Stress Reduction Program, you may wish to communicate with your instructor via email on occasion.  In order to ensure your privacy, we request that you give written permission for this form of correspondence.  <\/div>\r\n\r\n<div id=\"frm_field_645_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <label  class=\"frm_primary_label\" for=\"field_bo8s3\">Please check ONE of the options below that apply to the Email Communication Consent:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <div class=\"frm_opt_container\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_645-644-0\">\t\t\t<label  for=\"field_bo8s3-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[645][]\" id=\"field_bo8s3-0\" value=\"I give my permission to communicate via email with my program instructor about any aspect of my MBSR experience\"  data-sectionid=\"644\"  data-reqmsg=\"Please check ONE of the options below that apply to the Email Communication Consent: cannot be blank.\" data-invmsg=\"Please check ONE of the options below that apply to the Email Communication Consent: is invalid\"   aria-required=\"true\"  \/> I give my permission to communicate via email with my program instructor about any aspect of my MBSR experience<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_645-644-1\">\t\t\t<label  for=\"field_bo8s3-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[645][]\" id=\"field_bo8s3-1\" value=\"I DO NOT give permission to communicate via email\"  data-sectionid=\"644\"  data-reqmsg=\"Please check ONE of the options below that apply to the Email Communication Consent: cannot be blank.\" data-invmsg=\"Please check ONE of the options below that apply to the Email Communication Consent: is invalid\"   \/> I DO NOT give permission to communicate via email<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_646_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_ghhzu3\">By entering your name here, you agree to the above checked option\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ghhzu3\" name=\"item_meta[646]\" value=\"\"  data-sectionid=\"644\"  data-reqmsg=\"By entering your name here, you agree to the above checked option cannot be blank.\" aria-required=\"true\" data-invmsg=\"By entering your name here, you agree to the above checked option is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_647_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_gn84d3\">Today's Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_gn84d3\" name=\"item_meta[647]\" value=\"\"  data-sectionid=\"644\"  maxlength=\"10\" data-reqmsg=\"Today&#039;s Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date (mm\/dd\/yy) is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_863_container\" class=\"frm_form_field form-field  frm_none_container\">\n    <label id=\"field_yzkva_label\" class=\"frm_primary_label\" for=\"g-recaptcha-response\">Security Check\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\n    <\/label>\n    <div  id=\"field_yzkva\" class=\"g-recaptcha\" data-sitekey=\"6LcLSAkUAAAAAJjKKRs3gDlMiRQtsstKRYJpqVNz\" data-size=\"normal\" data-theme=\"light\"><\/div>\n    \n    \n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_870_container\">\n\t\t\t<label for=\"field_te9v3\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_te9v3\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[870]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"cI0t+k6+0TkXXe+qUcgl3Ub3\/7VfHVIT87bM\/0gXtHou1LdaiQpOdHFQmkwyA3gx\" \/><div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/www.ramapo.edu\/mindfulness\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"5\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":565,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10789","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.5 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>5-Day Famework for Mindful Living Application - Mindfulness at 69色情视频 || 69色情视频 of New Jersey<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ramapo.edu\/mindfulness\/5-day-famework-for-mindful-living-application\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"5-Day Famework for Mindful Living Application\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ramapo.edu\/mindfulness\/5-day-famework-for-mindful-living-application\/\" \/>\n<meta property=\"og:site_name\" content=\"Mindfulness at 69色情视频\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/RamapoCollege\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@ramapocollegenj\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.ramapo.edu\/mindfulness\/5-day-famework-for-mindful-living-application\/\",\"url\":\"https:\/\/www.ramapo.edu\/mindfulness\/5-day-famework-for-mindful-living-application\/\",\"name\":\"5-Day Famework for Mindful Living Application - Mindfulness at 69色情视频 || 69色情视频 of New 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