Great decision!

To begin our cooperation, I have prepared a simple questionnaire for you.

The questions are divided into 7 main life areas.

By completing it, you will gain insight into your life from a higher perspective.

You will see how balanced your life is, which areas work for you, and what you would like to change.

Your answers will be the topic of our first session.

After you submit the questionnaire, I will contact you to set up a session.

I look forward to meeting you.

First and last name

E-mail

LIFE AREA 1: SOCIAL AND FAMILY RELATIONSHIPS

I disagree I agree
1	2	3	4	5

#2 I am close to my family and our relationships are healthy.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#4 I have enough real friends around me that I can rely on.

I disagree I agree
1	2	3	4	5

#5 The people I care about most in my life accept me.

I disagree I agree
1	2	3	4	5

#6 I am satisfied with the overall quality of my relationships.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about your relationships?

What is your idea of fulfilling relationships? What are you missing?

LIFE AREA 2: CAREER AND STUDY GOALS

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#4 I am satisfied with my current working relationships.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#6 I find satisfaction and fulfillment in my current career. I look forward to going to work every day.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#8 If I died today, I would be satisfied with the legacy I leave behind.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about your job/career?

What is your idea of a fulfilling career? Or what are you missing?

LIFE AREA 3: PERSONAL FINANCES

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#4 Being financially capable is very important to me.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#6 I am willing to step out of my comfort zone and take risks to achieve a higher income.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about your financial situation?

What is your idea of a fulfilling lifestyle and what can you do to achieve it?

LIFE AREA 4: HEALTH, RECREATION AND LEISURE

#1 I am very satisfied with my health and physical condition.

I disagree I agree
1	2	3	4	5

#2 I am satisfied with my current physical appearance.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#4 I have enough free time for myself, my hobbies, friends and family.

I disagree I agree
1	2	3	4	5

#5 I enjoy life outside of my career, I often do something for myself or things that I enjoy.

I disagree I agree
1	2	3	4	5

#6 I have room for improvement in my life outside of work and/or studies.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about this area of your life?

What is your idea of a fulfilling lifestyle? Is there anything you are missing or want more of?

LIFE AREA 5: DAILY DUTIES

#1 I am satisfied with how I currently manage routine tasks.

I disagree I agree
1	2	3	4	5

#2 I am disciplined in taking care of my bills and other important responsibilities.

I disagree I agree
1	2	3	4	5

#3 Having a precise regimen is important to me because it makes my life easier.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#5 I don't have a specific system, but I can handle everything and I don't have a problem with anything.

I disagree I agree
1	2	3	4	5

#6 Neither system nor discipline will help me live a better life.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about this area of your life?

Can you simplify your life somehow?

LIFE AREA 6: YOUR CONTRIBUTION TO SOCIETY AND GIVING BACK

#1 I feel it is important to contribute to society and make a difference.

I disagree I agree
1	2	3	4	5

#2 I am satisfied with how much I currently give back to society and how much I contribute to a better life for others.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#4 It is important to me to leave a meaningful legacy.

I disagree I agree
1	2	3	4	5

#5 I am satisfied with the current legacy I would leave behind.

I disagree I agree
1	2	3	4	5

#6 One day my children will be proud of how I lived my life.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change about how you contribute to others?

Do you have a desire to create something for the world? To pass something on? How great could your contribution be?

LIFE AREA 7: MENTAL, EMOTIONAL AND SPIRITUAL HEALTH

#1 I am confident and strong in who I am as a person.

I disagree I agree
1	2	3	4	5

I disagree I agree
1	2	3	4	5

#3 I currently feel very mentally healthy and strong.

I disagree I agree
1	2	3	4	5

#4 I consistently manage my emotions and negative thoughts.

I disagree I agree
1	2	3	4	5

#5 I regularly invest time in my spiritual development.

I disagree I agree
1	2	3	4	5

Is there anything you would like to change in this area?

FINAL SUMMARY

So what would your ideal life look like?

You can easily write down the best possible result in each of the 7 areas.

Which areas of your life are working for you at the moment and where do you feel the biggest obstacles?

What can you do now to be one step closer to your ideal life?

How can I help you as your life coach?

Do you have anything else on your mind?

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