InSitu Life Reflection Questionnaire
Please answer the questions honestly and to the best of your ability. I look forward to speaking with you at your Life Reflection Strategy Session.
How did you hear about us?
First Name *
Last Name *
Email Address *
Phone Number *
What is your biggest reason for wanting a Life Reflection Strategy Session with InSitu Life Works? *
What comes to mind when you think about your most challenging life/work challenges right now? *
How would you describe the following areas of your life at this moment? *
Completely Unfulfilling
Somewhat Unfulfilling
Somewhat Fulfilling
Completely Fulfilling
Health and Wellbeing
Personal Relationships
Vocation and Creative Expression
Time and Money Freedom
Briefly describe your personal ideal for Health and Wellbeing. *
Briefly describe your personal ideal for Personal Relationships. *
Briefly describe your personal ideal for Vocation and Creativity. *
Briefly describe your personal ideal for Time and Money Freedom. *
Please describe your previous experience with self-improvement work (books, coaching programs, etc.). *
Up until now, what do you believe has held you back from experiencing the life you would truly love? *
How motivated are you to invest your time, energy, and resources into changing your results in the most challenging areas of your life? *
Completely unmotivated.
Ready, willing, and able!
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