Client Questionnaire

Client Information
FIRST NAME*
LAST NAME*
DATE OF BIRTH*
PRESENT AGE*
GENDER*

FEMALEMALE
MARITAL STATUS*

SINGLEENGAGEDMARRIEDAGREESEPARATEDDIVORCEDWIDOWED
PRESENTLY LIVING WITH*

PARENTBOYFRIENDHUSBAND/SPOUSESHARINGALONEOTHER
OCCUPATION
MOBILE*
EMAIL*
CONFIRM EMAIL*
ANY CHILDREN?

YESNO
HOW MANY?
PLEASE SELECT OPTIONS OF CONFERENCING FACILITIES AVAILABLE TO YOU*

SKYPEZOOMWHATSAPP AUDIO & VIDEOFACETIME AUDIO & VIDEO
COMPANY Information
Company Name
Company Size
Industry
HOW CAN WE HELP YOU?
TELL US ABOUT WHY YOU ARE SEEKING COACHING
YOUR REASONS FOR SEEKING COACHING AND THE RESULTS YOU ARE LOOKING FOR*
WHAT ARE SOME OF THE GOALS YOU'D LIKE TO ACHIEVE?
GOALS

PERSONAL LIFESPIRITUAL GROWTHRELATIONSHIPSFINANCIALSELF-ESTEEMCAREER DEVELOPMENTEMOTIONAL INTELLIGENCEHEALTH & WELLBEINGFINANCIAL HEALTHSOCIAL INTERACTIONENTREPRENEURSHIPSELF-MASTERYFAMILY LIFEPARENTINGVISION BOARDINTELLECTUAL GROWTH
HOW DID YOU HEAR ABOUT US?
OPTIONS
Please include any attachments for any other information that would help us better understand your needs.
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SELF MASTERY
I HAVE A STRONG SENSE OF WHO I AM AND WHAT I AM ALL ABOUT.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I KNOW WHAT MY CORE VALUES ARE AND CAN ARTICULATE THEM CLEARLY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CLEARLY DEFINED PERSONAL VISION & MISSION STATEMENT THAT I TRY TO LIVE BY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM CONFIDENT IN MY ABILITIES TO COPE WITH THE CHALLENGES OF LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I BELIEVE I AM DESERVING OF HAPPINESS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FEEL VERY MUCH IN CONTROL OF MY OWN LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A HIGH LEVEL OF INTEGRITY BETWEEN WHAT I THINK, SAY AND DO.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM APPROPRIATELY SELF ASSERTIVE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I BELIEVE IN MAKING THINGS HAPPEN IN MY LIFE VERSUS LETTING THINGS HAPPEN OR HAPPEN TO ME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I DWELL FOR TOO LONG ON PAST MISTAKES.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FORGIVE AND LEARN FROM MY MISTAKES AND MOVE ON POSITIVELY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM A COMPASSIONATE PERSON.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM A SELF-MOTIVATED PERSON.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY CHARACTER AND KNOW EXACTLY WHAT I WANT IN THIS AREA OF MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A PERSONAL STATEMENT FOR MY LIFE VISION

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
SPIRITUAL GROWTH
I FEEL VERY FULFILLED AS A HUMAN BEING.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CLEAR SENSE OF MY PURPOSE IN LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I LIVE VERY CONSCIOUSLY AND PAY ATTENTION TO ALL AREAS OF MY LIFE

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CONTRIBUTE TO OTHERS AND MAKE THE WORLD A BETTER PLACE

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM ACCEPTING OF ALL PARTS OF MYSELF, BOTH THE GOOD AND THE BAD

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM VERY CONTENT MOST OF THE TIME

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM ACTIVELY LOOKING FOR NEW IDEAS AND STRATEGIES FOR LIVING A BETTER LIFE

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY RELIGION OR SPIRITUAL PREFERENCE

CHRISTIANMUSLIMBUDDHISMHINDUI HAVE A RELATIONSHIP WITH GODI AM JUST SPIRITUAL
EMOTIONAL INTELLIGENCE
I FEEL IN CONTROL OF MY EMOTIONS MOST OF THE TIME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM JOYFUL AND HAPPY MOST OF THE TIME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM SELDOM DEPRESSED OR LOW.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CONSISTENTLY GREAT ATTITUDE TOWARDS LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I SELDOM EXPERIENCE GENERALISED STRESS OR ANXIETY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CAN CLEARLY DEFINE THE EMOTIONS THAT ARE MOST IMPORTANT AND DESIRABLE TO ME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A VERY HAPPY UPBRINGING.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I VIEW THE WORLD AS A GOOD PLACE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
LOVE & RELATIONSHIPS
DO YOU THINK ABOUT THE VARIOUS LEVELS OF RELATIONSHIPS AND HOW YOU FIT INTO THESE? PLEASE SELECT THOSE APPLICABLE.

GODPARENTSSELFCOMMUNITYPROFESSIONINTIMATE RELATIONSHIPSALL OF THE ABOVE
I HAVE A GOOD AND DEEP SPIRITUAL RELATIONSHIP WITH GOD OR THE INFINITE INTELLIGENCE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A GOOD AND HEALTHY RELATIONSHIP WITH MY PARENTS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A GOOD AND HEALTHY RELATIONSHIP WITH MYSELF – I AM VERY MUCH SELF-ACTUALISED.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A GOOD UNDERSTANDING OF HOW I FIT INTO SOCIETY | COMMUNITIES | MY WORK & CAREER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A HEALTHY AND GOOD INTIMATE RELATIONSHIP WITH THE OPPOSITE SEX OR MY PARTNER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WOULD LIKE A HEALTHY AND GOOD INTIMATE RELATIONSHIP WITH THE OPPOSITE SEX OR MY PARTNER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I TAKE CONSISTENT ACTION TO FIND MY IDEAL PARTNER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CLEAR PICTURE OF WHAT MY IDEAL PARTNER WOULD BE LIKE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I KNOW I WILL MAKE A GREAT PARTNER SOMEDAY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A VERY SATISFYING SEX LIFE

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT THIS AREA OF MY LIFE AND KNOW EXACTLY WHAT KIND OF A RELATIONSHIP I WANT TO BUILD.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
HEALTH & FITNESS
I AM VERY HAPPY WITH THE WAY MY BODY LOOKS & FEELS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CLEARLY DEFINED EXERCISE PROGRAMME AND I STICK TO IT DILIGENTLY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE AN EXCELLENT, HEALTHY DIET.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY HEALTH AND FITNESS AND KNOW EXACTLY WHAT I WANT IN THIS AREA OF MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE EDUCATED MYSELF REGARDING HEALTH AND NUTRITION.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I LOOK AND FEEL YOUNGER THAN MY TRUE AGE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CONSISTENTLY HIGH ENERGY LEVEL.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM HAPPY WITH MY CURRENT WEIGHT

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WOULD LIKE TO WORK TOWARDS MY IDEAL WEIGHT

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
SMOKING

I AM A NON SMOKERI SMOKE OCCASIONALLYI AM A MODERATE SMOKERI AM A HEAVY SMOKER
INTELLECTUAL DEVELOPMENT

YOUR GIFTS AND TALENTS
I FEEL QUITE CONFIDENT IN MY INTELLECTUAL ABILITIES.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I PUSH MYSELF MENTALLY AND STRETCH MY INTELLECTUAL ABILITIES EVERY DAY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A STRATEGY IN PLACE TO KEEP MYSELF LEARNING AND GROWING.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CONSISTENTLY LOOK TO PERSONAL DEVELOPMENT PRODUCTS TO ENHANCE MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY INTELLECTUAL LIFE AND KNOW EXACTLY WHAT I WANT IN THIS CATEGORY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FEEL FULFILLED INTELLECTUALLY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
CAREER & ENTREPRENEURSHIP

HOW TO USE YOUR GIFTS AND TALENTS
MY PRIMARY OCCUPATION IS:

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY CAREER IS VERY FULFILLING TO ME – I LOVE WHAT I DO.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY CAREER CHALLENGES ME AND KEEPS ME LEARNING AND GROWING.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I SELDOM EXPERIENCE CAREER STRESS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WAKE UP EACH MORNING LOOKING FORWARD TO MY WORK.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM VERY GOOD AT WHAT I DO.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WOULD LIKE TO RUN MY OWN BUSINESS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
FINANCIAL INTELLIGENCE

MANAGING MONEY
I MANAGE MY MONEY WELL.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I SELDOM EXPERIENCE FINANCIAL STRESS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE CLEAR, WRITTEN FINANCIAL GOALS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I DEEPLY UNDERSTAND THE FUNDAMENTALS OF WEALTH CREATION.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I BELIEVE THAT MAKING MONEY AND CREATING WEALTH ARE VERY GOOD THINGS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY FINANCES ARE HIGHLY ORGANISED.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY PERSONAL & BUSINESS LIVES ARE HIGHLY ORGANISED (INSURANCE, ESTATE PLAN, ETC.).

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FEEL THAT I HAVE A HIGH LEVEL OF FINANCIAL SECURITY IN MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FEEL THAT I HAVE A HIGH LEVEL OF FINANCIAL SECURITY IN MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY CAREER AND KNOW EXACTLY WHAT I WANT IN THIS AREA OF MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WISH TO CHANGE CAREER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I DO NOT WISH TO CHANGE CAREER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WOULD LIKE TO BE FINANCIALLY INDEPENDENT

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
SOCIAL INTERACTION
OVERALL, I HAVE A CLOSE, LOVING RELATIONSHIP WITH MY SIBLING/SIBLINGS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A FANTASTIC, ACTIVE SOCIAL LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE FRIENDS I CAN ALWAYS COUNT ON TO BE THERE FOR ME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I INVEST A GOOD DEAL OF TIME AND ENERGY IN MY FRIENDS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I INVEST A GOOD DEAL OF TIME AND ENERGY IN MY FRIENDS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I PAY CLOSE ATTENTION TO THE RELATIONSHIPS THAT NOURISH ME, VERSUS THE RELATIONSHIPS THAT DRAIN ME.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CONSIDER MYSELF TO BE A VERY GOOD FRIEND TO OTHERS

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY SOCIAL LIFE AND KNOW EXACTLY WHAT KIND OF FRIENDSHIPS I WANT TO BUILD.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
FAMILY LIFE & PARENTING
I HAVE XXXX CHILDREN

YESNO
I PLAN TO HAVE CHILDREN

YESNO
IF YOU DO NOT HAVE CHILDREN YET….. I WOULD LIKE TO HAVE CHILDREN SOMEDAY.ANSWER THIS QUESTION AND SKIP ALL OTHER QUESTIONS IF YOU DO NOT YET HAVE CHILDREN

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CLOSE, LOVING, HEALTHY RELATIONSHIP WITH MY CHILDREN.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I RARELY EXPERIENCE ANXIETY WITH REGARD TO MY CHILDREN.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I SET A GREAT EXAMPLE FOR MY CHILDREN OF HOW TO LIVE A WONDERFUL LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A CONSCIOUS, CLEARLY DEFINED PARENTING STRATEGY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM VERY PLEASED WITH HOW MY CHILDREN ARE TURNING OUT AS PEOPLE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
OVERALL, I FEEL LIKE I AM A FANTASTIC PARENT.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT VERY DEEPLY ABOUT THE TYPE OF PARENT I WANT TO BE AND CONTINUE TO MAKE IMPROVEMENTS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
QUALITY OF LIFE
I LOVE THE HOUSE I LIVE IN.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I WOULD LIKE TO BUILD A “HOME” NOT JUST LIVE IN A HOUSE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
MY HOME PROJECTS THE FEELINGS THAT ARE MOST IMPORTANT TO ME (LOVE, PEACEFULNESS, SENSUALITY, FUN,CLEANLINESS, SERENITY, BRIGHTNESS, COMPASSION AND JOY).

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY QUALITY OF LIFE AND DEFINED EXACTLY WHAT I WANT IN THIS AREA.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE THOUGHT DEEPLY ABOUT MY QUALITY OF LIFE AND DEFINED EXACTLY WHAT I WANT IN THIS AREA.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I DESERVE THE BEST THAT LIFE HAS TO OFFER.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I TAKE REGULAR BREAKS AND VACATIONS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A LOT OF FUN IN MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I FEEL THAT I AM TRULY LIVING MY BEST LIFE TO THE FULLEST.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I PLAN EXTRAORDINARY EXPERIENCES FOR MYSELF ON AN ONGOING BASIS (TRIPS, EVENTS, AND OTHER HIGHLY MEMORABLE MOMENTS).

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I AM SATISFIED WITH THE QUALITY OF MY POSSESSIONS (CARS, FURNITURE, ARTWORK, DISHES OR ANY OTHER MATERIAL THINGS IN MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
THE BRUILT™ LIFE VISION BOARD

YOUR VISION BOARD FOR SUSTAINABLE LIFE
I HAVE A VISION FOR MY LIFE AND I WORK ON THAT REGULARLY.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A STRONG SENSE OF HOW I WOULD LIKE MY LIFE TO UNFOLD OVER THE COMING YEARS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I INTEND TO INVEST IN MY OWN PERSONAL DEVELOPMENT IN THE COMING YEARS.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I KNOW HOW MUCH MONEY I WOULD LIKE TO BE MAKING IN FIVE YEARS FROM NOW.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CURRENTLY HAVE A PLAN IN PLACE FOR ACHIEVING MY GOALS AND MY IDEAL LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I HAVE A ONE YEAR | TWO YEAR | THREE YEAR | FOUR YEAR | FIVE YEAR PLAN

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I CAN CLEARLY DEFINE MY SINGLE MOST IMPORTANT GOAL IN LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
I BELIEVE HUGE TRANSFORMATIONAL SHIFTS ARE POSSIBLE IN MY LIFE.

STRONGLY DISAGREESOMEWHAT DISAGREEDISAGREEAGREESOMEWHAT AGREESTRONGLY AGREE
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SELF MASTERY

SPIRITUAL GROWTH

EMOTIONAL INTELLIGENCE

LOVE & RELATIONSHIPS

HEALTH & FITNESS

INTELLECTUAL DEVELOPMENT

CAREER & ENTREPRENEURSHIP

FINANCIAL INTELLIGENCE

SOCIAL INTERACTION

FAMILY LIFE & PARENTING

QUALITY OF LIFE

THE BRUILT™ LIFE VISION BOARD