The Personal Matrix Escape Assessment Quiz

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***LOOK: Your Lifestyle Score is:***
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Pick one emotional state that best describes your life right now(Scroll down to make your select)
(Scroll Down and Select One)
1. Humiliation
2. Blame
3. Despair
4. Regret
5. Anxiety
6. Craving/Longing
7. Hate/Anger
8. Proud/Self-Righteous
9. Empowered/Affirmed
10. Trusting/Surrendered
11. Optimistic
12. Forgiving
13. Understanding/Clear
14. Honored/Loved
15. Calm/Joyful
16. Bliss
17. Indescribable - So amazing words cannot describe
Use the drop down menu above
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MINDSET: Rate How You're Doing Mentally Right Now* This field is required.Give yourself a score (5 is Really Good...1 is Really Bad)
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Rate Your Social LifeHow's it going with building new relationships or contacts in your life or for your business?
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Rate Yourself FinanciallyHow are you doing with managing investments, income, opportunities, and sales?
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Rate Yourself EmotionallyScore yourself on how you handled or managed your energy or emotions this week? i.e. Rate how happy you were this week
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Rate Your Self Carei.e. your body and environment, food, water, working out, staying organized etc.
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Which of the areas below do you need the most support with?* This field is required.You can pick one that matters to you the most
Faith - Mindset Coaching
Social - Building Better Relationships & Connections
Money - Better Financial Decisions & Business Growth
Feelings - Staying Emotionally Grounded
Fitness - Better Health Choices and Getting Organized
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Which of these habits do you struggle with?* This field is required.You can pick more than one!
Keeping my word to myself and Sticking to my calendar
Waking Up Earlier
Procrastination
Being Consistent in Taking Action
Keeping a Positive Mindset
Being on Time
Not Losing my temper
Making Time for Self Care
Staying Motivated
Staying Focused (Avoiding Distractions)
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Who Are You?* This field is required.Select the role(s) you play
Creative/Artist
Business Owner/Entrepreneur
Professional
Student
Mom
Dad
Husband
Wife
Girlfriend
Boyfriend
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Select the tools you use right now to manage your time?* This field is required.You can pick more than one tool!
Google Calendar
Microsoft Outloook
Paper/Dry Erase Wall Calendar
Journal
Napkins, Envelops, you name it
None - I don't manage my time
iPhone (and or iPhone Watch)
A Sundial
Levenger Tools
Grant Cardone's 10X Planner
At-A-Glance
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Name (or Nickname) You Like to Be Called* This field is required.This keeps us from referring to you as "Hey YOU..." (Last name can be your social media handle)
First Name or Nickname
Last Name
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Get a text confirmation when your score is readyEnter your best phone number to get score details
Please enter a valid phone number.
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You'll also get an emailed assessment score....* This field is required.Enter the best Email - that's where we'll send your score
example@example.com
Should be Empty: