Digital Self Assessment Tool

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Name
First Name
Last Name
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Basic Information
Please enter your email
Please enter your phone
Facebook ID
Instagram Id
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Self /Mental Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Physical Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Physical Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Physical Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Spiritual Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Spiritual Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Spiritual Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Spiritual Health* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Relationships* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Network/Career* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Network/Career* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Network/Career* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Network/Career* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Money* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Money* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Money* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Money* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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Environment / Nature / Fun* This field is required.Review the questions below, then use the scale to identify the best descriptive answer.
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What is the reason for your rating in each area?* This field is required.Were you critical with your answers for each scaled topic?
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What would you say are your limiting beliefs in the areas you could not say yes to?* This field is required.Evaluated Areas: Self /Mental Health, Physical Health, Spiritual, Relationships, Network /Career, Money, Environment / Nature / Fun
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What is your desire for that area of your life and why?* This field is required.Evaluated Areas: Self /Mental Health, Physical Health, Spiritual, Relationships, Network /Career, Money, Environment / Nature / Fun
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What would you need to believe about yourself to get your own idea of success in those area?* This field is required.Evaluated Areas: Self /Mental Health, Physical Health, Spiritual, Relationships, Network /Career, Money, Environment / Nature / Fun
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How would it feel to be successful in those areas now?* This field is required.Evaluated Areas: Self /Mental Health, Physical Health, Spiritual, Relationships, Network /Career, Money, Environment / Nature / Fun
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What are your personal goals?* This field is required.Ex. Lose weight, eat clean, exercise, write a book etc…
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What are your spiritual goals?* This field is required.Ex. Go back to church, increase prayer time etc…
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What are your professional goals?* This field is required.Ex. Apply for an executive position, start a business etc…
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What are your financial goals?* This field is required.Ex. Start saving, decrease debt, increase income Etc…
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What are your relational goals? * This field is required.Ex. Start trauma counseling or therapy, become social etc..
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What are your business goals? * This field is required.Ex. Hire a new assistant, expand your brand, apply for a new grant etc……..
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Self Care* This field is required.What intentions will you set to treat, fulfill, and recharge yourself?
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Health: What intentions will you make about your exercise, nutrition, hydration, and sleep quality!* This field is required.
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Family & Friends* This field is required.What intentions can you take to connect with those who matter most?
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Personal Growth* This field is required.What do you intend to learn? How do you intend to grow?
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Time, Money, and Energy* This field is required.Be intentional in how you steward these. What will you set out to do better? What will you eliminate?
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Fun and Adventure* This field is required. Think of something fun! Commit to an activity or start planning your next trip; Set an intention to get outside more.
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