FOCUS EQ SIGNUP '24

1

Name* This field is required.

First Name

Last Name

2

Do you have a clear understanding of your own values and priorities?

YESNO

3

Are you aware of your emotional strengths and areas for growth?

YESNO

4

How well do you understand your emotions

I can accurately identify my emotions

I have someone to openly discuss my emotions with

I can effectively express myself when I am emotional

I don't express my emotions well

I keep my emotions to myself

5

How well do you understand trust?

I trust people easily

People have to earn my trust

I trust until my trust is broken

I completely trust myself

I only trust people of my same sex

I trust people based on how they trust me

6

What do you consider yourself to be?

I'm a traditional person

I'm non-traditional

I don't follow any traditions

I make up my traditions as I go

I'm a free spirit

7

Are you happy with your body type?

YESNO

8

Choose your top goals for 2024

Date someone amazing

Get myself together in various ways (responsibility, money management)

Learn how to break bad habits

Make more money and invest

Marry My Partner

Go back to school

Start a business - Grow my business

Lose weight - tone - body shape - add muscle - cardio

9

Do you know your primary and secondary love language?

YESNO

10

Do you believe in professional therapy?

YESNO

11

What course are you will to take to work on yourself?

Emotions Intelligence

Personal Transformation

Dating and Relationships for Singles

Relationships for Long-term Couples & Married Couples

7 Day Coaching Retreat at a beautiful location

The Accountability Group

Financial Empowerment and Education

Learn to Invest and Trade Stocks and Options

12

Did you intentionally answer any of these questions inaccurately?

YESNO

13

Age Range

18-25

26-36

36-46

47+

14

Email* This field is required.

example@example.com