BACKBONE Life Assessment
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Email *
Age *
Relationship Status *
Do you have children? *
Profession *
Which areas cause you the most difficulty in your current life? *
Describe what you find difficult about your current situation. *
Which areas are you most satisfied with in your current life? *
What are you hoping to achieve from this program? *
I am happy with the way my body looks. *
I feel in control of my emotions most of the time. *
I am joyful and happy most of the time. *
I have a consistently great attitude towards life. *
I seldom experience generalised stress or anxiety. *
I have a strong sense of who I am and what I'm all about. *
I know what my core values are and can articulate them clearly. *
I believe I am deserving of happiness. *
I feel very much in control of my own life. *
I believe in making things happen in my life versus letting things happen. *
I have an excellent, healthy diet. *
I have a consistently high energy level. *
I feel quite confident in my intellectual abilities. *
I have thought deeply about my intellectual life and know exactly what I want in this category. *
I feel fulfilled intellectually.
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I consider myself to be a good partner in a relationship. *
I rarely experience stress in my Love Relationship *
I have a fantastic, active social life.
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I have friends I can always count on to be there for me. *
I pay close attention to the relationships that nourish me versus the relationships that drain me. *
I manage my money well. *
I seldom experience financial stress. *
My career is very fulfilling to me - I love what I do.
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I seldom experience career stress *
I love the house I live in. *
I have a lot of fun in my life. *
I truly feel like I am living my life to the fullest. *
I am dedicated to improving every category of my life. *
Thank you very much for taking part in our Life Assessment.
Don't forget to book your place on the next BACKBONE program - starting in April 2021.


Places are limited to 10 participants.
There will be a 50% price reduction while COVID restrictions remain.

Life is a performance - put your support system in place and perform.
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