Stef's Self Love Quiz
Hey Boo, Thanks for taking the time to take this quiz and dig into you. I know these are some deep questions, I have designed them that way. I want to help you gain some clarity by answering these questions to help you see where your self love is currently and where you want it to be.
When we get real, we learn to feel, it is then we can learn to deal and heal!
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Email address
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Your email
Name
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Your answer
Phone #
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Your answer
What do you crave to be seen for?
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Your answer
How would have self love impact your life?
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Your answer
What is self love to you? Describe in detail.
Your answer
How has not having self love effected your life?
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Your answer
Do you feel aware of how you self sabotage?
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Your answer
Do you trust yourself?
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Your answer
What are 3 goals you have for yourself to achieve in the next 90 days?
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Your answer
How often do you think about achieving these goals?
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Your answer
Do you currently have a morning routine?
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Yes
No
On a scale of 1-10 how stressful would you rate your life?
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I rarely use the word stress
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2
3
4
5
6
7
8
9
10
All I feel is stress
Do you feel you know your purpose?
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I am currently living my life with purpose
I want to discover my strengths and live a life of purpose
Option 3
How do you hold yourself accountable to reach your goals?
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Your answer
Do you feel you have the support system in your life to be the Powerhouse you want to be?
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Yes
No
You are my only supporter right now
Other:
What does success in life feel like to you?
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Your answer
Do you struggle with any of the following? (check all that apply)
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negative self talk
binge eating
binge drinking
shopping too much
keeping promises to myself
mindset
sticking to a routine
single parent life
dating
mom life
self discipline
sticking to my goals
self confidence
looking in the mirror
feeling like me
setting boundaries
speaking my truth
Required
When shame pops up in your life, how do you typically handle it?
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Your answer
What is your biggest fear?
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Your answer
What is your current vision for yourself?
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Your answer
Do you have a motto you live by? If so, what is it?
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Your answer
List 5 goals you want to accomplish in the next 6 months, explain why each one is important to you.
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Your answer
What currently holds you back from living your best life? (Check all that apply)
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Fear of Failure
Fear or rejection
Fear of approval
Money
Keeping routines
Belief in myself
Confidence
Don't know what I want out of life
Don't have the support system
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What has been your biggest accomplishment so far? Describe how achieving this made you feel.
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Your answer
How often do you grow your mind? (reading, podcast, tedtalks, documentaries)
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Daily
A few times a week
Once a month
I can't remember the last time
How often do you work out or do some sort of physical movement?
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Daily
A few times a week
Once a month
I can't remember the last time
Is meditation in your daily routine?
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NO
Yes
I want it to be, teach me
List 5 things you love about yourself.
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Your answer
How does perfectionism currently effect your life?
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Your answer
If money didn't matter, how would you want to spend your time?
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Option 1
What would change your life if you changed your relationship with the following? Check all that apply.
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my self love
relationship with money
romantic relationship
family relationships
relationship with food
relationship with guilt
relationship with shame
relationship with the gym
relationship with perfectionism
Option 10
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Tell me more about what you want to "let go of" and what you want to lean into.
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Your answer
What is your current process for planning out your day?
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Your answer
Think about the best life possible, the life you have always dreamed of. Describe it in as much detail as you can.
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Your answer
List 5 things you want to let go of in your life, so you can fully love yourself.
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Your answer
On a scale of 1-10 how full is your love account?
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empty
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2
3
4
5
6
7
8
9
10
overflowing
I am living my life authentic to me daily?
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I worry too much about what others think
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2
3
4
5
6
7
8
9
10
Yes girl
Do you feel that you have the power to change your life?
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Yes
NO
TEACH ME HOW
If you could live your life limitless and fearless, how would your life be different?
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Your answer
Do you want to learn how to have a morning routine?
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Yes
No
Maybe
Do you want to learn how to keep the promises you make to yourself?
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Yes
No
Maybe
How would that impact your life?
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Your answer
How would self love help your relationships?
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Your answer
How did hear about Stef?
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Your answer
Whats holding you back from giving yourself permission to have self love?
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Your answer
Have you ever thought about having a coach before?
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Your answer
Do you want to book a call to learn about how you can get coaching, support, and guidance from Stef?
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Yasssss girrrrlllll
I'm not ready
Other:
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