Language
English (US)
If there was ONE BIG CHANGE that you wanted to make in your life, what would it be? What is the biggest challenge, frustration or problem that's getting in your way of making that change? (please be as specific as possible)
Name
*
First Name
Last Name
Email
*
example@example.com
Give yourself a score in these areas
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10
Clarity - I feel that I am clear about who I am, my purpose, and the direction I want to go in life
Leadership
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10
Leadership - I step up for myself and others in uncomfortable situations and hold myself accountable
Mindset
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9
10
Mindset - I feel that I am in a good place mentally (my self-talk, self-perception)
What are your top 3 goals that you are after right now?
What major stressors or challenges are getting in your way right now?
Evaluate yourself in these areas
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10
My relationships - I'm in a fulfilling relationship or ready to be in one
Health
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10
My overall health - I sleep well, manage stress effectively, eat well, exercise and take care of my physical environment
Lifestyle
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10
My hobbies - I have activities outside of my work that challenge me
Spirituality
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10
Spirituality - I have a spiritual/meditative practice and keep deepening it on a regular basis
How quickly would you want to change it?
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