You can always press Enter⏎ to continue
Quantum Wellness Challenge
You will receive a free evaluation chart upon completion. Estimated duration 10 min.
20
Questions
START
1
Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
example@example.com
Previous
Next
Submit
Press
Enter
3
What motivates & energizes me?
Previous
Next
Submit
Press
Enter
4
How I'm feeling right now.
1 = drained, 10 = Amazeballs
1
2
3
4
5
6
7
8
9
10
Worst
Best
Previous
Next
Submit
Press
Enter
5
How much joy (physical or emotional) am I feeling?
1 = drained, 10 = Amazeballs
1
2
3
4
5
6
7
8
9
10
Worst
Best
Previous
Next
Submit
Press
Enter
6
How much pain (physical or emotional) am I feeling?
1 = Amazeballs, 10 = Worst
1
2
3
4
5
6
7
8
9
10
None
Worst
Previous
Next
Submit
Press
Enter
7
Courage
Do you have the Courage to follow and achieve your Dreams & Passions?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Adaptive
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Bravery
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Perseverance
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Honesty
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Zest
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Row 4, Column 8
Row 4, Column 9
Confidence
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Row 5, Column 8
Row 5, Column 9
Adaptive
Bravery
Perseverance
Honesty
Zest
Confidence
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
100%
Row 4, Column 0
90%
Row 4, Column 1
75%
Row 4, Column 2
65%
Row 4, Column 3
50%
Row 4, Column 4
40%
Row 4, Column 5
35%
Row 4, Column 6
25%
Row 4, Column 7
15%
Row 4, Column 8
0%
Row 4, Column 9
100%
Row 5, Column 0
90%
Row 5, Column 1
75%
Row 5, Column 2
65%
Row 5, Column 3
50%
Row 5, Column 4
40%
Row 5, Column 5
35%
Row 5, Column 6
25%
Row 5, Column 7
15%
Row 5, Column 8
0%
Row 5, Column 9
1
of 6
Previous
Next
Submit
Press
Enter
8
Temperance
Do you have the Temperance to stay on your Path?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Forgiveness
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Humility
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Prudence
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Self-regulation
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Forgiveness
Humility
Prudence
Self-regulation
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
1
of 4
Previous
Next
Submit
Press
Enter
9
Justice
Do you attain and maintain Justice on your Quest?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Citizenship
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Discernment
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Fairness
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Leadership
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Teamwork
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Row 4, Column 8
Row 4, Column 9
Judgment
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Row 5, Column 8
Row 5, Column 9
Citizenship
Discernment
Fairness
Leadership
Teamwork
Judgment
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
100%
Row 4, Column 0
90%
Row 4, Column 1
75%
Row 4, Column 2
65%
Row 4, Column 3
50%
Row 4, Column 4
40%
Row 4, Column 5
35%
Row 4, Column 6
25%
Row 4, Column 7
15%
Row 4, Column 8
0%
Row 4, Column 9
100%
Row 5, Column 0
90%
Row 5, Column 1
75%
Row 5, Column 2
65%
Row 5, Column 3
50%
Row 5, Column 4
40%
Row 5, Column 5
35%
Row 5, Column 6
25%
Row 5, Column 7
15%
Row 5, Column 8
0%
Row 5, Column 9
1
of 6
Previous
Next
Submit
Press
Enter
10
Humanity
What ignites your Humanity?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Compassion
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Empathy
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Generosity
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Kindness
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Love
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Row 4, Column 8
Row 4, Column 9
Social Intelligence
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Row 5, Column 8
Row 5, Column 9
Compassion
Empathy
Generosity
Kindness
Love
Social Intelligence
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
100%
Row 4, Column 0
90%
Row 4, Column 1
75%
Row 4, Column 2
65%
Row 4, Column 3
50%
Row 4, Column 4
40%
Row 4, Column 5
35%
Row 4, Column 6
25%
Row 4, Column 7
15%
Row 4, Column 8
0%
Row 4, Column 9
100%
Row 5, Column 0
90%
Row 5, Column 1
75%
Row 5, Column 2
65%
Row 5, Column 3
50%
Row 5, Column 4
40%
Row 5, Column 5
35%
Row 5, Column 6
25%
Row 5, Column 7
15%
Row 5, Column 8
0%
Row 5, Column 9
1
of 6
Previous
Next
Submit
Press
Enter
11
Patience
Do you have the Patience to pursue your Passions?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Empathy
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Hope
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Open Minded
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Perspective
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Empathy
Hope
Open Minded
Perspective
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
1
of 4
Previous
Next
Submit
Press
Enter
12
Honor
Will you pursue your Passions with Honor?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Honesty
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Integrity
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Trustworthiness
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Honesty
Integrity
Trustworthiness
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
1
of 3
Previous
Next
Submit
Press
Enter
13
Knowledge
How do you apply your Knowledge to pursue & achieve your Passions?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Love of learning
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Innovative
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Judgment
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Confidence
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Love of learning
Innovative
Judgment
Confidence
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
1
of 4
Previous
Next
Submit
Press
Enter
14
Wisdom
How do you utilize your Wisdom to enhance your superpowers?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Creativity
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Curiosity
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Perspective
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Spirituality
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Creativity
Curiosity
Perspective
Spirituality
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
1
of 4
Previous
Next
Submit
Press
Enter
15
Transcendence
Are you ready to take the leap of Transcendence to fulfill your full potential?
100%
90%
75%
65%
50%
40%
35%
25%
15%
0%
Altruism
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Appreciation of beauty
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Gratitude
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Hope
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Humor
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Row 4, Column 8
Row 4, Column 9
Love
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Row 5, Column 8
Row 5, Column 9
Altruism
Appreciation of beauty
Gratitude
Hope
Humor
Love
100%
Row 0, Column 0
90%
Row 0, Column 1
75%
Row 0, Column 2
65%
Row 0, Column 3
50%
Row 0, Column 4
40%
Row 0, Column 5
35%
Row 0, Column 6
25%
Row 0, Column 7
15%
Row 0, Column 8
0%
Row 0, Column 9
100%
Row 1, Column 0
90%
Row 1, Column 1
75%
Row 1, Column 2
65%
Row 1, Column 3
50%
Row 1, Column 4
40%
Row 1, Column 5
35%
Row 1, Column 6
25%
Row 1, Column 7
15%
Row 1, Column 8
0%
Row 1, Column 9
100%
Row 2, Column 0
90%
Row 2, Column 1
75%
Row 2, Column 2
65%
Row 2, Column 3
50%
Row 2, Column 4
40%
Row 2, Column 5
35%
Row 2, Column 6
25%
Row 2, Column 7
15%
Row 2, Column 8
0%
Row 2, Column 9
100%
Row 3, Column 0
90%
Row 3, Column 1
75%
Row 3, Column 2
65%
Row 3, Column 3
50%
Row 3, Column 4
40%
Row 3, Column 5
35%
Row 3, Column 6
25%
Row 3, Column 7
15%
Row 3, Column 8
0%
Row 3, Column 9
100%
Row 4, Column 0
90%
Row 4, Column 1
75%
Row 4, Column 2
65%
Row 4, Column 3
50%
Row 4, Column 4
40%
Row 4, Column 5
35%
Row 4, Column 6
25%
Row 4, Column 7
15%
Row 4, Column 8
0%
Row 4, Column 9
100%
Row 5, Column 0
90%
Row 5, Column 1
75%
Row 5, Column 2
65%
Row 5, Column 3
50%
Row 5, Column 4
40%
Row 5, Column 5
35%
Row 5, Column 6
25%
Row 5, Column 7
15%
Row 5, Column 8
0%
Row 5, Column 9
1
of 6
Previous
Next
Submit
Press
Enter
16
What sectors do you identify as most important for a thriving community?
Education and Apprenticeship
Art and Music
Churches and Local Non-profits
News and Media
Private Business Sector
Workforce and Labor Unions
Public Service Sector - Local Government
Medical Health/Wellness and Fitness
Science and Technology
Family and Friends
Previous
Next
Submit
Press
Enter
17
How is your time being spent?
Please provide a brief estimate of how much time you dedicate each week to the following activities.
Days
Hours
Minutes
Work
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Hobbies
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
R & R
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Exercise
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Social
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Family
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Education
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Meditation
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Other
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Work
Hobbies
R & R
Exercise
Social
Family
Education
Meditation
Other
Days
Row 0, Column 0
Hours
Row 0, Column 1
Minutes
Row 0, Column 2
Days
Row 1, Column 0
Hours
Row 1, Column 1
Minutes
Row 1, Column 2
Days
Row 2, Column 0
Hours
Row 2, Column 1
Minutes
Row 2, Column 2
Days
Row 3, Column 0
Hours
Row 3, Column 1
Minutes
Row 3, Column 2
Days
Row 4, Column 0
Hours
Row 4, Column 1
Minutes
Row 4, Column 2
Days
Row 5, Column 0
Hours
Row 5, Column 1
Minutes
Row 5, Column 2
Days
Row 6, Column 0
Hours
Row 6, Column 1
Minutes
Row 6, Column 2
Days
Row 7, Column 0
Hours
Row 7, Column 1
Minutes
Row 7, Column 2
Days
Row 8, Column 0
Hours
Row 8, Column 1
Minutes
Row 8, Column 2
1
of 9
Previous
Next
Submit
Press
Enter
18
Appointment/ Consultation
Previous
Next
Submit
Press
Enter
19
Phone Number
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
20
What is the best way to connect?
Please let us know the best way to connect with you.
Previous
Next
Submit
Press
Enter
21
Tags
Todo
In Progress
Done
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
21
See All
Go Back
Submit
