Glow Up Survey
This survey will help you see where you’re glowing and where it's time to polish up. Answer each question honestly to discover your Midlife Glow Score.This assessment is derived from my signature coaching framework. S.H.I.N.E. A 5 pillar system that delivers sustainable results for women in all stages of midlife.
Name
First Name
Last Name
Email
example@example.com
SELF-CARE
1.1 How often do you prioritize self care?
Always
Sometimes
Rarely
Never
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1.2 Do you average 8 hours of quality sleep per night?
Always
Sometimes
Rarely
Never
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1.3 Do you regularly practice stress reducing habits (deep breathing, meditation, stretching)?
Always
Sometime
Rarely
Never
Back
Next
1.4 How often do you take your vitamins and supplements?
Always
Sometimes
Rarely
Never
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Next
HABITS
2.1 Do you follow a consistent morning or evening routine?
Always
Sometime
Rarely
Never
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Next
2.2. How often do you cook or prepare healthy meals at home?
Always
Sometimes
Rarely
Never
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2.3 Are you getting 8k -10k steps in daily?
Always
Sometimes
Rarely
Never
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Next
Image
3..1 Does your wardrobe reflect the woman you are today?
Always
Sometimes
Rarely
Never
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3.2 How often do you feel confident in your personal style choices?
Always
Sometimes
Rarely
Never
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NETWORK
4.1 Do the people you surround yourself with respect and honor your boundaries and standards?
Always
Sometimes
Rarely
Never
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4.2 How willing are you to set up boundaries in your relationships?
Always
Sometimes
Rarely
Never
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4.3 How often do you intentionally nurture friendships?
Always
Sometimes
Rarely
Never
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EXPERIENCES
5.1 How often do you travel or try new things (restaurants, activities, hobbies)?
Always
Sometimes
Rarely
Never
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5.2 How adventurous are you when it comes to stepping outside your comfort zone?
Always
Sometimes
Rarely
Never
Back
Next
Scoring & ResultsFor each question:• Always / Consistently = 3 points• Sometimes = 2 points• Rarely = 1 point🌟 • Why S.H.I.N.E. is your answer: The S.H.I.N.E. framework is designedfor women exactly where you are—overwhelmed, stuck, or unsurewhere to start. With 5 simple pillars (Self-care, Habits, Image,Network, and Experiences), you’ll have a clear path to reclaim yourglow.Your next step? Grab the The S.H.I.N.E. Method today and step into The Glow Lounge for the support you’ve been missing! Subcribe on Instagram @mrsquealexander 🫶🏾
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