What most scares you?
What would happen if it came true?
How would that affect you?
Rate each area below on a scale of 1-5 based on how true it is for you. 1 = not true at all, 5 = very true.
Less True – 1
“answerbox4″ value=1> 2
3
4
5
– More True
I am as happy as I want to be.
Less True – 1
“answerbox5″ value=1> 2
3
4
5
– More True
I feel great about myself.
Less True – 1
“answerbox6″ value=1> 2
3
4
5
– More True
I feel fully in control of my life.
Less True – 1
“answerbox7″ value=1> 2
3
4
5
– More True
I feel very optimistic and excited about the future.
Less True – 1
“answerbox8″ value=1> 2
3
4
5
– More True
I am clear on the direction I want my life to go in.
Less True – 1
“answerbox9″ value=1> 2
3
4
5
– More True
I have the clarity of mind to know what I want, feel and think.
Less True – 1
“answerbox10″ value=1> 2
3
4
5
– More True
I have the courage to do whatever I feel needs to be done.
Less True – 1
“answerbox11″ value=1> 2
3
4
5
– More True
My romantic relationship is everything I want it to be.
Less True – 1
“answerbox12″ value=1> 2
3
4
5
– More True
My friendships and family relationships are enjoyable and harmonious,
Less True – 1
“answerbox13″ value=1> 2
3
4
5
– More True
I feel confident, clear and enjoy raising my children.
Less True – 1
“answerbox14″ value=1> 2
3
4
5
– More True
I love my work and feel good about what I do.
Less True – 1
“answerbox15″ value=1> 2
3
4
5
– More True
Financially I have everything that I need.
Less True – 1
“answerbox16″ value=1> 2
3
4
5
– More True
I am able to relax whenever I want to.
Less True – 1
“answerbox17″ value=1> 2
3
4
5
– More True
Stress is not a problem for me.
Less True – 1
“answerbox18″ value=1> 2
3
4
5
– More True
I have a philosophy/understanding of life that makes sense of life’s experiences.
Less True – 1
“answerbox19″ value=1> 2
3
4
5
– More True
Your Name:
Your Email: