Life Inventory Quiz

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1. 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).

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2.What are the top 3 skills you feel you are missing to make that change?

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3. What area of your life do you keep ignoring, even though you know its important?

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4. Give yourself a score in these 5 areas: Clarity - I feel clear about who I am, my purpose and the direction I want to go in life:Put a number down on a scale of 1-10, 10 is high, 1 is low.

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5. Biology - I have enough mental and physical energy needed to accomplish everything I set out to accomplish on a consistent basis:Put a number down on a scale of 1-10, 10 is high, 1 is low.

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6. Leadership - I step up for myself and others in uncomfortable situations and hold myself accountable:Put a number down on a scale of 1-10, 10 is high, 1 is low.

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7. Efficiency - I am efficient, consistently focused and I am good at minimizing distractions and maintaining priorities:Put a number down on a scale of 1-10, 10 is high, 1 is low.

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8. Mindset - I feel that I am in a good place mentally (my self-talk, self-perception):Put a number down on a scale of 1-10, 10 is high, 1 is low.

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9. What is your name?

First Name

Last Name

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10. What is your email?

example@example.com

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11. What is your phone number?

Area Code

Phone Number

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13. What are your top 3 goals you are after right now?

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14. What major stressors are challenges are getting in your way right now?

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15. What goal or dream have you failed at, and what do you believe caused you to fail?

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16. What would your ideal like look like if you could make it happen immediately?

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17. What has prevented you from having your ideal life?

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18. When do you feel you are you're most content and successful self, what makes you feel that way?

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19. What failures have you experienced in the past that you have failed to learn from?

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20. Almost there! - Evaluate yourself in these few areas - I am in a fulfilling relationship or ready to be in one: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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21. My overall health - I sleep well, manage stress effectively, eat well, exercise and take care of my physical environment: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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22. My hobbies - I have hobbies outside of work that challenge me: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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23. I keep developing deep and meaningful relationships with people close to me: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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24. I am ahead of where I expected to be in my life: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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25. Mission and purpose - I am clear about my role in this world: Put a number down on a scale of 1-10, 10 is high, 1 is low.

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26. Spirituality - I have a spiritual/meditative practice and keep deepening it on a regular basis:Put a number down on a scale of 1-10, 10 is high, 1 is low.

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27. What would happen if you stayed where you're currently at?

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28. How quickly do you want to change your current situation?

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29. I am aware that my current way of doing things is not working and I need to give up my old ways of thinking to make lasting change.

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30. How much would you be willing to invest to optimize every area of your life and create lasting positive change?

$2,000 - $5,000

$5,000 - $25,000

$25,000 - $100,000

$100,00 - $500,000

$500,000 +

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31. Is there anyone else involved in you making this decision (If so, I recommend having a conversation prior to us having a meeting).

No, just me.

Yes, I'll have a conversation with them before our chat.

Other.

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