JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Questionnaire Integral Sustainability Education
We take this Project very seriously, therefore we ask you to answer all of this questions fully and honestly. After we get your answers we will take some time to process them and will contact you as soon as possible.
Please send us a picture of you by email with your name+picture in the title:
integralsustainabilityedu@gmail.com
Sign in to Google
to save your progress.
Learn more
Name
Your answer
Date of Birthday
Your answer
Adress
Your answer
Postal Code/City
Your answer
Phone number (with national code)
Your answer
E-mail adress
Your answer
Facebook Page
Your answer
Skype name
Your answer
Family status
Your answer
Gender
Your answer
Passport Number (this is an information we will use just in case of emergency)
Your answer
Blood type (this is an information we will use just in case of emergency)
Your answer
What languages do you speak?
Your answer
How did you know about Integral Sustainability Education?
Your answer
What impact do you want this project to make on your life?
Your answer
This is a project about sustainable integration. Which areas of your life, which knowledge and experience you would like to integrate and bring as a intention to this project?
Your answer
What gifts and qualities do you feel you are gonna contribute to the group?
Your answer
Are you expert in something? (medicine, psychology, toys making, working with animals, storytelling, singing, finances, music, advertizement, editing movies, designer, anything...)
Your answer
Do you have any experience of teaching, organizing, leading groups? Please, explain briefly.
Your answer
What are your relationship with art, music, dance, movement?
Your answer
What work experience did you have in your life?
Your answer
What are your dreams for the future?
Your answer
Do you follow any certain spiritual path, do you practice any kind of meditation, energetical work, healing, martial arts or other practice?
Your answer
Are there any qualities, that you would like to develop through this project?
Your answer
Please, write a short CV, around 1 page
Your answer
Do you have any experience of living in the Nature?
Your answer
Do you have any experience in handycrafts?
Your answer
What kind of practical skills do you have for building, gardening, cooking, living in the nature?
Your answer
How much do you feel yourself able, or interested to learn it - building, gardening, cooking, living in the nature?
Your answer
What is easy and what is difficult for you, when you are in any group process?
Your answer
Are you using any drugs on a regular base, including alcohol, sugar or coffee? :)
Your answer
Are there any medicine that you are taking all the time?
Your answer
Do you have any chronical desease or something that may make difficult your long staying in Nature?
Your answer
Do you feel comfortable to live in a room with few more people?
Your answer
Do you feel comfortable to live in field conditions?
Your answer
Do you consider yourself to be emotionally stable?
Your answer
Do you have any religious of emotional limitations for contacting with other people?
Your answer
Every profit on this project beyond our expenses will be used to support ecological projects and scholarship for you and fellow students. Do you have any creative ideas for raising money for the project?
Your answer
The cost of the project is 3500 euros per student (includes: food, accommodation, all courses, studying and building material. Not included flight tickets and personal insurance). Are you able to pay this some until 1st of may?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
