Email
*
example@example.com
Name
*
First Name
Last Name
How do you feel about your career right now?
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Great
1 is Not great, 10 is Great
How would you like to feel about your career in the future?
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1 is Not great, 10 is Great
How do you feel about money right now?
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Great
1 is Not great, 10 is Great
How would you like to feel about money in the future?
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1 is Not great, 10 is Great
How do you feel about your health right now?
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Great
1 is Not great, 10 is Great
How would you like feel about your health in future?
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Great
1 is Not great, 10 is Great
How do you feel about your relationships?
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1 is Not great, 10 is Great
How would you like to feel about your relationships in future?
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1 is Not great, 10 is Great
How do you feel about your personal growth?
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1 is Not great, 10 is Great
How would you like to feel about your personal growth in the future?
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1 is Not great, 10 is Great
How would you like to feel about your friendships and social life?
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1 is Not great, 10 is Great
How would you like to feel about your friendships and social life in the future?
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1 is Not great, 10 is Great
How do you feel about the amount of balance in your life?
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Great
1 is Not great, 10 is Great
How would you like to feel about the amount of balance in your life in the future?
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Great
1 is Not great, 10 is Great
How do you feel about your spirtual side right now?
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Great
1 is Not great, 10 is Great
How would you like to feel about your spiritual side in the future?
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Not great
Great
1 is Not great, 10 is Great
Has this wheel of life given you some clarity on the areas you need to focus on?
*
Yes
No
Would you like to discuss your results further in a no cost discovery session?
*
Yes
No
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