Loving Yourself - Survey
Women are amazing! Whether we believe it or not, it's true. I'd like to find out how some of these things affect you and your life so I can develop a program that will help you love yourself and in so doing live your best life! Since this is anonymous, please be as honest and detailed as possible. The more specific your answers the better it will be for me to develop a relevant program of free and paid opportunities.
What year were you born? *
Your answer
Are you married?
Do you have children?
How many children do you have?
Your answer
What is your highest level of education?
How old are your children?
Your answer
How many books do you read each month?
Your answer
What type of books do you enjoy?
Your answer
Are you employed?
What is your annual income?
Your answer
Have you planned your retirement?
Do you love what you do?
Are your parents still living?
If your parents are still living, are you a caregiver?
What are the things that stress you the most?
Your answer
If you could take a vacation, where would you go?
Your answer
How much to do you weight?
Your answer
Are you happy with your body?
If you could change one thing about your life, what would it be?
Your answer
What's something you'd love to do, but haven't had the chance to do?
Your answer
Have you ever had a major health diagnosis?
If yes, what were you diagnosed with?
Your answer
Have you been cured?
What is your favorite pastime?
Your answer
What are three things you love about yourself?
Your answer
What are three things you'd change about yourself?
Your answer
What is your biggest regret in life?
Your answer
What are three things you're excited about in your life? Why?
Your answer
What are three things you'd like to change in your life? Why?
Your answer
What's your best feature?
Your answer
What's something you'd like to improve about yourself?
Your answer
Have you ever worked with a life coach?
If you had the opportunity to work with a life coach, what would you focus on improving?
Your answer
Is there anything more you'd like to share that I haven't asked about?
Your answer
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