Soul Care Experience Retreat Applicant Questionnaire

Please complete this questionnaire to help us get to know you better and determine if this retreat is the best fit for you. We will be in touch with you as soon as possible with feedback and further instructions about registration. Thank you!

Name

First Name

Last Name

Spouse Name (if participating as a couple)

First Name

Last Name

Email Address

Where are you coming from? (city, state, province or region)

What are dates of the Soul Care Experience you would like to attend?

What is your approximate age(s)?

20-29 years

30-39 years

40-49 years

50-59 years

60-69 years

70 years +

How did you hear about Potter's Inn and this retreat?

How do you plan on paying the fee for the Soul Care Experience? My church/mission/organization/company will pay. I will pay personally, etc.

Why do you desire to attend the Soul Care Experience?

Briefly, tell us about your family situation. Do you have children? Their ages? Season of life? Major circumstances effecting your primary or extended family?

What have been the most impactful books you have read in the past 2 years?

What has been your experience/exposure to Spiritual Formation?

What is your image of God?

How has your vocation shaped your journey?

Is there anything else you would like us to know about you?

Podcast

Bookstore

Support Potter's Inn

Soul Care Institute