Family Operating System

Family Operating System

Raise Your House Client
Who is filling this out?
Section 1 The Basics
Full name

First NameLast Name
Birthday

MonthDayYear
Home address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Number of kids
Their ages
Relationship status
Household income range
Section 2 Your Schedule
What time you wake up

Hour Minutes

AM/PM Option
What time you go to sleep

Hour Minutes

AM/PM Option
What days you work
Who handles school drop off and pickup
Section 3 Your Body
Current weight
Energy level 1 to 10
Sleep quality 1 to 10
How often you exercise per week
How you describe your current eating habits
Any current medications
Any health conditions
Section 4 Your Marriage
Marriage rating 1 to 10
How you describe your intimacy right now
Who carries most of the household load
Last date night

MonthDayYear
Date
Biggest marriage/partner challenge
What a great relationship looks like to you
Section 5 Your Kids
Kids behavior rating 1 to 10
Biggest parenting challenges
What bedtime looks like
Do you and your partner agree on parenting
Section 6 Your Money
Financial clarity rating 1 to 10
Money alignment with partner 1 to 10
Biggest financial stress
What financial freedom looks like to you
Section 7 Your Self
How much you feel like herself 1 to 10
Last time you did something just for yourself
What areas are you ready to change
What have you already tried
What life looks like 90 days from now if everything goes right
Anything else you want Eli to know
Full name

First NameLast Name
Birthday

MonthDayYear
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What do you do for work
What time do you wake up

Hour Minutes

AM/PM Option
What time do you get home from work

Hour Minutes

AM/PM Option
What days do you work
How many hours per week do you spend with your family
How would you rate your relationship 1 to 10
Describe your partner in three words
What is the biggest tension in your relationship right now
How involved are you at home 1 to 10
What does your partner need most from you right now
What does a great relationship look like to you
Why did you say yes to this program
What are you willing to change about yourself
What does life look like 90 days from now if everything goes right
Anything else Eli should know before you start
Should be Empty:

Family Operating System

Section 1 The Basics

Section 2 Your Schedule

Section 3 Your Body

Section 4 Your Marriage

Section 5 Your Kids

Section 6 Your Money

Section 7 Your Self