Amanda Bew | Flux & Flow | Life Satisfaction Questionnaire
How satisfied are you with different areas of your life? Type in a number from 1-10, 1 means you are totally dissatisfied with this part of your life. 10 means that you couldn't be happier or more satisfied with this area of your life. Please give an overall assessment of where you are at the present moment.

    1- Completely dissatisfied         10- I could not be happier
Sign in to Google to save your progress. Learn more
Name
Mental/Emotional
Clear selection
Physical Health
Clear selection
Recreation/Relaxation/Leisure
Clear selection
Life Balance
Clear selection
Personal Life Fulfillment
Clear selection
Physical Comfort (Housing/Possessions)
Clear selection
Career/Employment Satisfaction
Clear selection
Financial Stability
Clear selection
Marriage/Romantic Relationships
Clear selection
Home Life (Immediate Family)
Clear selection
Extended Family
Clear selection
Friends/Social Life
Clear selection
Spiritual Health
Clear selection
Church/Religious Life
Clear selection
Adapted from Gary R. Collins. Used by permission of NavPress (navpress.com)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.