Life Application Program

Life Application Program

This program is designed to give you clarity, energy and vitality to live life in balance with yourself and others. Answer each question. Each answer should be truthful in your life. If you find some you cannot answer we will work on these to find what your truth is. Total up the number of check boxes that you have checked in each of categories. Check back every 90 days and you will see the growth.
Date

MonthDayYear
Date
Name

First NameLast Name
Email
example@example.com
In the next 4 sections, select the each item you can answer yes to for at least 90% the time.

Otherwise, do not select it.
Section A - My Physical Environment*
Total items selected in A - My Physical Environment:*
Section B - My Physical Well Being*
Total items selected in B - My Physical Well Being:*
Section C - My Finances*
Total items selected in C - My Finances:*
Section D - My Relationships*
Total items selected in D - My Relationships:*
All materials and programs are written by and are the property of Drs. Jack & Julia Kelly and The Opus One Group, Inc. These cannot be copied or used without the express written permission of Drs. Kelly and The Opus One Group.
Should be Empty: