Created Living 8 Pillars Quiz
Created Living is a collaborative coaching team that empowers people to change their lives and their communities!

We will follow-up with you with your results and insights.

Thank you for your time!

Email address *
What is your name? *
Your answer
What is your job title?
Your answer
What is your job field or industry?
Your answer
What are your health (health, vitality, and balance) goals?
Your answer
How does it impact you when you don't achieve your health goals?
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Medicine:
I am not aware in this area
I am fully alive in this area
In the area of Medicine, what modalities are you using? (e.g. check-ups with a primary care doctor, chiropractor, specialist, acupuncturist, etc)
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Spirtuality:
I am not aware in this area
I am fully alive in this area
In the area of Spirituality, how do you connect with your inner self? (e.g. meditations, podcasts, workshops)
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Nutrition:
I am not aware in this area
I am fully alive in this area
In the area of Nutrition, do you know what foods are good for you? Have you ever taken a cleanse?
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Physical Health:
I am not aware in this area
I am fully alive in this area
In the area of Physical Health, do you have an exercise routine?
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Money
I am not aware in this area
I am fully alive in this area
In the area of Money, what are your personal beliefs about money and how do you use it?
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Home
I am not aware in this area
I am fully alive in this area
In the area of Home, do you have a home where you feel relaxed, nurtured, and expressed? Does the area you work (e.g. the office) have you feel empowered and nurtured?
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Life
I am not aware in this area
I am fully alive in this area
In the area of Life, are you satisfied with all the different areas of life? (e.g. career, love, family, friends, creativity, fun, self-development)
Your answer
From a rating of 1-10 (1 the lowest and 10 the highest), please rate your satisfaction and fulfillment with the health area - Beauty
I am not aware in this area
I am fully alive in this area
In the area of Beauty, how rested do you feel? What do you do to take care of your body? Does your wardrobe express who you are?
Your answer
What is your Age Range?
What is your Income Level?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service