Home » Application Form
Your Name (required)
Your Email (required)
Country of residence
What timezone are you in?
Why do you want to become a Rebirthing Breathwork Facilitator?
Which Program would you like to join?
11.September 2020November 2020January 2021
What qualities do you have that you believe would make you a good facilitator?
How would impact you to become a Facilitator?
What are your personal reasons for doing this program?
What are your professional reasons for doing this program?
Describe any experience or training you have in facilitation, coaching, teaching, in personal-development and healing modalities.
Please, describe your current career or lifestyle.
Please, describe how do you want to integrate the Rebirthing Breathwork Facilitation into your life, both professionally and private.
What are you afraid of when it comes to becoming a Rebirthing Breathwork Facilitator?
What might be an obstacle for you in joining this course?
Have you ever experienced, practiced, studied breathwork? What kind of breathwork? For how long?
Have you ever practiced, learned meditation, yoga other kind of spiritual practice? For how long and what practice?
Do you have any physical, mental, emotional conditions we shall know about?
Are there any questions that you have for me and our collective about the program?
Is there anything else that you would like us to know?
Where did you hear about us and our programs?
Privacy and Policy View Privacy & Policy
I understand that Rebirthing Breathwork is not a medical treatment View Disclaimer