Name
*
First Name
Last Name
Email
*
example@example.com
PLEASE RATE YOUR RESPONSE ON A SCALE FROM 1-10
*
10
9
8
7
6
5
4
3
2
1
I am very satisfied with my life
I can clearly identify/articulate what needs changed in the world
I am actively making changes in the areas I feel passionate about changing
I am influential with others
I have a set of core values that guide my life
I know my purpose for being on this earth
I regularly set and achieve goals to achieve my purpose
I live a balanced life that keeps me on track
I have support in my life that keeps me going on the right path
I have high energy to help me impact this world
Calculation
Submit
Should be Empty: