Name.
Email Address.
CATEGORIES
1. Friends & Family
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
How close are you to your friends & family? Are you investing time and energy into the people that mean the most to you and are you being energized and supported by these relationships?
2. Health
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
How well is your body holding up? Are you in good physical shape and taking regular exercise? Are you happy with your relationship with food and alcohol?
3. Finances
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
Are you at, or close to the point of being financially free? Do you have a satisfying lifestyle with enough savings to see you through an unexpected crisis? Is money a major stress point in your life?
4. Business/Career
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
Are you happy in your work? Do you feel fulfilled and energized by your career? Does your work reflect your personal values? Are you as successful as you would like to be?
5. Core Relationships
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
Are you satisfied and content in your core relationships? If you have a partner is this relationship fulfilling and bringing a positive energy into your life? If you are single does this satisfy you? Do you feel loved by the people who mean the most to you?
6. Personal & Spiritual Growth
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
Are you living the life that you want to live or are you working to bring about someone else’s dream? Are you being stretched intellectually and emotionally through the things you do on a daily basis? Are you regularly setting new goals for yourself and achieving them?
7. Fun, Recreation & Creativity
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
Do you have hobbies and leisure activities? Do you have time for yourself and to spend with friends? Are you developing your creative side as much as you want to?
8. Physical environment
UNSATISFIED
Select
0
1
2
3
4
5
6
7
8
9
10
FULLY SATISFIED
When you’re at home do you feel safe, secure and content? Do you live in the environment you would have chosen to live in? Do you have too long a commute to work? Does your physical location create stress or depression in you?
