Application Form — Techforpsych

Email Address *

Are you a student? Professional? School/Industry?

What motivates me the most to do personal one on one Muse Meditation via online video chat with Dr. Cody at this time

About how much have you spent on personal development in the past year

How did you find out about Cody Rall MD and Techforpsych? *

Do you have any experience with sitting meditation, yoga, or other mindfulness practices? How much?

What is your current model of smart phone or tablet?

Would you rate your level of proficiency with smartphones and bluetooth devices as low (don’t have a smartphone or have difficulty connecting and using devices), moderate (average confidence in connecting and using smartphone applications and devices) or advanced (programming knowledge and/or career in IT).