The Velocity Life Review
This survey is used to help measure your satisfaction across several broad categories in your life. This is a "pulse check" survey, not a personality assessment -- your results will vary over time.

You will receive your results by email within two business days.

IMPORTANT: If after pressing "submit" you do not receive a confirmation message that means you did not answer one or more of the required questions. Please scroll back through the survey to look for questions in red boxes, answer those, and then press "submit" again.

Measuring Your Satisfaction
For each of the following questions, read and answer based on the following scale: 0 = Completely Dissatisfied, 10 = Completely Satisfied. Do not spend too much time on any one question; your first "gut" response is best. There are 50 questions in this section.
1. How would you rate your level of satisfaction with your ability to regularly obtain an appropriate amount of sleep? *
Completely Dissatisfied
Completely Satisfied
2. How would you rate your level of satisfaction with your relationship you have with your intimate partner? *
If you do not have a partner at this time, rate your level of satisfaction with being single.
Completely Dissatisfied
Completely Satisfied
3. How would you rate your level of satisfaction with the current level of emotional support you receive from your closest friends? *
Completely Dissatisfied
Completely Satisfied
4. How would you rate your level of satisfaction with your current level of spiritual practice and pursuits? *
Completely Dissatisfied
Completely Satisfied
5. How would you rate your level of satisfaction with your ability to effectively work with a team? *
Completely Dissatisfied
Completely Satisfied
6. How would you rate your level of satisfaction with how your career aligns with your personal core values? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
7. How would you rate your level of satisfaction with your ability to effectively communicate with your supervisor(s)? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
8. How would you rate your level of satisfaction with your current relationship with your direct supervisor(s)? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
9. How would you rate your level of satisfaction with your ability to engage in difficult conversations with your colleagues at work? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
10. How would you rate your level of satisfaction with your ability to set and achieve professional goals? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
11. How would you rate your level of satisfaction with your current level of exercise and physical activity? *
Completely Dissatisfied
Completely Satisfied
12. How would you rate your level of satisfaction with your level of retirement savings? *
Completely Dissatisfied
Completely Satisfied
13. How would you rate your level of satisfaction with your overall physical health? *
Consider both chronic and acute illness when choosing your response.
Completely Dissatisfied
Completely Satisfied
14. How would you rate your level of satisfaction with your current level of travel for pleasure? *
Completely Dissatisfied
Completely Satisfied
15. How would you rate your level of satisfaction with your ability to effectively cope with transitions and change in your career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
16. How would you rate your level of satisfaction with your ability to regularly enjoy moments of laughter and levity? *
Completely Dissatisfied
Completely Satisfied
17. How would you rate your level of satisfaction with your ability to effectively communicate with your colleagues? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
18. How would you rate your level of satisfaction with your ability to set professional boundaries and say "no" at work when necessary? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
19. How would you rate your level of satisfaction with your current involvement in local/community activities? *
Neighborhood activities, local sports, recreational clubs, and other social activities.
Completely Dissatisfied
Completely Satisfied
20. How would you rate your level of satisfaction with your job security in your current career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
21. How would you rate your level of satisfaction with your ability to regularly exhibit a positive outlook on your life? *
Completely Dissatisfied
Completely Satisfied
22. How would you rate your level of satisfaction with your ability to obtain opportunities for promotions and raises in your current job? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
23. How would you rate your level of satisfaction with your current relationships with your family? *
Completely Dissatisfied
Completely Satisfied
24. How would you rate your level of satisfaction with your ability to regularly use your strengths in your current career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
25. How would you rate your level of satisfaction with the current level of emotional support you receive from your colleagues? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
26. How would you rate your level of satisfaction with your ability to motivate your colleagues or subordinates? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
27. How would you rate your level of satisfaction with your ability to set boundaries in your personal relationships and say "no" when necessary? *
Completely Dissatisfied
Completely Satisfied
28. How would you rate your level of satisfaction with the sense of fulfillment you receive from your career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
29. How would you rate your level of satisfaction with your ability to save money? *
Completely Dissatisfied
Completely Satisfied
30. How would you rate your level of satisfaction with your ability to regularly use your skills in your career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
31. How would you rate your level of satisfaction with your ability to be your true self? *
Completely Dissatisfied
Completely Satisfied
32. How would you rate your level of satisfaction with your ability to deal with conflict in your personal relationships? *
Completely Dissatisfied
Completely Satisfied
33. How would you rate your level of satisfaction with your ability to accept constructive criticism from colleagues, supervisors, clients, and/or vendors? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
34. How would you rate your level of satisfaction with your ability to socialize regularly with family, friends, and/or work colleagues? *
Completely Dissatisfied
Completely Satisfied
35. How would you rate your level of satisfaction with your ability to mitigate and cope with stress in your life? *
Completely Dissatisfied
Completely Satisfied
36. How would you rate your level of satisfaction with your current involvement in organized clubs and associations? *
Professional Membership Groups, Networking Organizations, Fraternities/Sororities, etc.
Completely Dissatisfied
Completely Satisfied
37. How would you rate your level of satisfaction with your ability to truly listen to those with whom you interact on a daily basis? *
Completely Dissatisfied
Completely Satisfied
38. How would you rate your level of satisfaction with your current annual income? *
Completely Dissatisfied
Completely Satisfied
39. How would you rate your level of satisfaction with your ability to communicate effectively with vendors, clients, or customers? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
40. How would you rate your level of satisfaction with the balance in your life? *
Completely Dissatisfied
Completely Satisfied
41. How would you rate your level of satisfaction with your ability to identify and live your life according to a set of personal core values? *
Completely Dissatisfied
Completely Satisfied
42. How would you rate your level of satisfaction with your ability to set and achieve personal goals? *
Completely Dissatisfied
Completely Satisfied
43. How would you rate your level of satisfaction with your ability to regularly set aside time for hobbies? *
Completely Dissatisfied
Completely Satisfied
44. How would you rate your level of satisfaction with your ability to deal with conflict in your professional relationships? *
Completely Dissatisfied
Completely Satisfied
45. How would you rate your level of satisfaction with your perception of how others at work value your ideas and contributions? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
46. How would you rate your level of satisfaction with the amount and quality of your contributions (time and/or money) to charities you care about? *
Completely Dissatisfied
Completely Satisfied
47. How would you rate your level of satisfaction with the amount and quality of your civic engagement (local, national, or international)? *
Completely Dissatisfied
Completely Satisfied
48. How would you rate your level of satisfaction with your ability to continue to learn and grow by trying new things? *
Completely Dissatisfied
Completely Satisfied
49. How would you rate your level of satisfaction with your current dietary habits? *
Completely Dissatisfied
Completely Satisfied
50. How would you rate your level of satisfaction with your ability to lead others in your current career? *
If you are currently unemployed, retired, or otherwise not working, rate your satisfaction in your last position.
Completely Dissatisfied
Completely Satisfied
Demographic Questions
Please answer the following questions to help us with our research. There are 11 questions in this section.
What is your gender?
What is your sexual orientation?
What is your age?
What is your relationship status?
What is your race/ethnicity?
Choose as many as apply
What is your employment status?
Choose as many as apply
What is your zip code?
If you do not live in the United States, please list the country you live in.
Your answer
I have personally experienced chronic (not situational) depression or mental illness. *
Strongly Disagree
Strongly Agree
If I am being entirely candid, I sometimes believe that I may have a substance abuse problem. *
Strongly Disagree
Strongly Agree
Who referred you to this survey? *
IMPORTANT: If a specific person/coach not listed referred you to this survey, please type their name in the "Other" box below.
Would you like to receive your survey results? *
Getting Your Results
Please fill out the following information so Velocity can get you your survey results. There are 8 questions in this section.
What is your first name? *
Your answer
What is your surname? *
Your last name or family name
Your answer
What is your email address?
Your answer
Would you like to receive our inspirational newsletter?
Emailed monthly to opt-in subscribers.
Are you interested in a free telephone debrief of your results?
What is your telephone number?
(xxx) xxx-xxxx
Your answer
When is the best time to contact you?
Choose as many as apply
Would you like to be contacted by a specific coach?
If it is a non-Velocity coach please type the name in "Other" box below.
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