Your Free Assessment
What's your first name? *
Your answer
What's your last name?
Your answer
Which email address should we use for your results? *
Your answer
What is your phone number?
Your answer
Let's get right to it, shall we?
When I am not sure how things will turn out, I expect the best.
Never
Always
I have tried something new in the last 3 months.
I laughed today.
Every year I look forward to my birthday.
Never
Always
I do not let paperwork pile up or suffer from procrastination.
Never
Always
I am happy with the money I earn for what I do.
Not at all
Completely
I am happy with my relationship status.
I am in a relationship with my ideal partner, or I am clear about who my ideal partner is.
I meditated today, or I will before the day is over.
Last week I exercised at least 3 times for at least 30 minutes each time.
I am happy with my home's location and my mode of transport.
Not at all
Completely
I have decluttered my home and possessions within the last 18 months.
There are some people I dread running into.
I regularly tell and show those important to me that I love them.
Never
Every day
I know where my money goes.
No Idea
Every Penny
I save at least 10% of my income.
What are your top three life goals?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Miller Innovation.