Rigpa Distance Sangha Questionnaire

Your Contact Information

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-mail
Number of retreats you have attended with Sogyal Rinpoche:
Where were the retreats held, and what were the approximate dates?
What courses have you taken at local Rigpa centers, and what were the approximate dates?
What Rigpa Distance Learning courses have you taken and what were the approximate dates?
Please tell us a little bit about your practice. How often do you practice?
What are your main practices?
Do you have any questions about the Distance Sangha at this time?
Do you have any suggestions for how the Distance Sangha can best support you?