Your Life Survey

Where are you now

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How do you rate your romantic relationship(s) on a scale of 1-5 (1 being the lowest and 5 being the highest)? *

1 2 3 4 5

How do you rate your physical fitness / body happiness on a scale of 1-5? *

1 2 3 4 5

How do you rate your career / business on a scale of 1-5? *

1 2 3 4 5

How do your rate you spiritual life or involvement in your community on a scale of 1-5? *

1 2 3 4 5

How would you rate your financial well-being on a scale of 1-5? *

1 2 3 4 5

What, if anything, would you change about your life right now? *

Email *

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All of our dreams can come true, if we have the courage to pursue them. - Walt Disney

Life coach based out of Indianapolis, IN but helping people everywhere.

(p)317.283.9690
e-mail: [email protected]