BACKBONE Life Assessment
By leaving your email address details you give permission to be contacted about future services relating to Backbone. All other information will be deleted after 14 days.
Sign in to Google to save your progress. Learn more
Email *
Age *
Relationship Status *
Do you have children? *
Profession *
Which areas cause you the most difficulty in your current life? *
Required
Describe what you find difficult about your current situation. *
Which areas are you most satisfied with in your current life? *
Required
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.
Clear selection
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.
Clear selection
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.
Clear selection
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.

BOOKINGS OPEN NOW

https://gareth-fox.com/backbone/

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.
 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms