Be Renewed Well-Being Assessment 🌿✨

1

Your Full Name* This field is required.

First Name

Last Name

2

Email Address* This field is required.

example@example.com

3

When you think about your current season, what feels most true?* This field is required.

I feel overwhelmed, stuck, or unsure how to move forward

I am becoming more aware of my patterns but still struggle with consistency

I feel grounded and focused on continued growth and purpose

4

How do you experience your emotions most of the time?* This field is required.

They feel heavy, confusing, or difficult to process

I can recognize them, but responding well is still a work in progress

I understand them and can respond with intention most of the time

5

Which best describes your self-talk?* This field is required.

It is often critical, doubtful, or influenced by past experiences

I am working to change it, but it is inconsistent

It is mostly supportive, truthful, and aligned with who I am becoming

6

How connected do you feel to God right now?* This field is required.

Distant, confused, or unsure if He hears me

I am reconnecting, but it feels inconsistent

I feel connected and continue to grow in my relationship with Him

7

When thinking about past relationship(s), you mostly:* This field is required.

Feel hurt or find it hard to move on

I have distance from it, but I am still working through the impact it had on me

I have processed it and feel more at peace and clear about what I need moving forward

8

How safe do you feel being honest with yourself?* This field is required.

It feels difficult or overwhelming

I am learning to be honest with myself

I can be honest with myself and reflect without fear

9

When old patterns show up, what happens?* This field is required.

I fall back into them without realizing until later

I notice them, but struggle to change in the moment

I can recognize and redirect myself more consistently

10

How ready do you feel for change in your life?* This field is required.

Not ready or fearful about change

Willing but unsure how to begin

Eager and actively seeking positive change

11

How do you respond when something triggers you?* This field is required.

I react quickly and feel overwhelmed

I am learning to pause, but it does not always happen

I can pause and choose how I respond most of the time

12

How do you view your self-worth?* This field is required.

Often doubt or criticize yourself

Working on self-acceptance but need reminders

Value yourself and recognize your strengths

13

When it comes to setting boundaries, you:* This field is required.

Find it difficult and often say yes when you mean no

Are learning to set boundaries but sometimes struggle

Set healthy boundaries and honor your needs

14

What feels most true about your growth right now?* This field is required.

I know something needs to change but feel unsure how

I am actively working on growth but need support to stay consistent

I am growing and looking for ways to go deeper

15

How consistent are you with practices like prayer, journaling, or Bible reading?* This field is required.

Rare or difficult to maintain

Somewhat consistent but not steady

Regular and part of my routine

16

How do you approach forgiveness (of yourself or others)?* This field is required.

Struggle to let go of hurt or resentment

Working on forgiveness but it takes time

Practice forgiveness as part of your growth

17

When thinking about your future, you feel:* This field is required.

Worried or unsure about what’s ahead

Hopeful but sometimes anxious

Excited and optimistic about possibilities

18

How do you approach change?* This field is required.

It feels overwhelming or hard to start

I am trying, but struggle to follow through

I take intentional steps and adjust as I grow

19

Your connection to your purpose or calling feels:* This field is required.

Unclear or lost

Emerging but not fully defined

Clear and guiding your daily choices

20

How do you celebrate progress or achievements?* This field is required.

Rarely acknowledge your wins

Notice progress but sometimes minimize it

Regularly celebrate and honor your growth

21

How ready do you feel to take a step forward in your life right now?* This field is required.

I feel stuck or unsure where to begin

I want to move forward but need support and direction

I feel ready to take intentional steps toward continued growth

22

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