- The Regenesis Institute for Regenerative Practice

The Regenerative Practitioner Series Participant Questionnaire

"*" indicates required fields

Your Name*

Email Address

Enter the email address that you'd like a copy of your responses to be emailed to.

Cohort Assignment*

Help our faculty easily refer to your submission by noting the cohort to which you are assigned.

Hybrid In-Person/Online with Intensive in Lisbon, Winter-Spring 2025

Hybrid In-Person/Online with Intensive in Santa Fe, Winter-Spring 2025

Hybrid In-Person/Online with Intensive in Melbourne, Summer-Fall 2025

Hybrid In-Person/Online with Intensive in Devon, United Kingdom

1. What do you see as your primary work at this stage of your life?*

2. What role do you see as yours to play?*

3. What goals or aims do you have in regard to the above?*

4. Where do you feel your next arenas for personal growth are?*

5. And for professional growth?*

6. What have you invested in to get you where you are?*

7. What fields of learning and which thinkers have been important in your life?*

8. Can you frame your philosophy or cosmology of life? What role(s) do humans play in it?*

This field is for validation purposes and should be left unchanged.