Life Satisfaction Survey
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1. Instructions
Take this short survey and discover what areas of your relationship are not working for you.
*
1
. Do you feel connected to your spouse?
Do you feel connected to your spouse?
YES
NO
Sometimes
Most of the time
Other (please specify)
*
2
. Are your emotional needs as important to you as your physical needs?
Are your emotional needs as important to you as your physical needs?
YES
NO
Sometimes
Most of the time
Other (please specify)
*
3
. Are you able to make changes in your life without feeling threatened?
Are you able to make changes in your life without feeling threatened?
YES
NO
Sometimes
Most of the time
Other (please specify)
*
4
. Do you feel confident about the direction that your life is headed?
Do you feel confident about the direction that your life is headed?
YES
NO
Sometimes
Most of the time
Other (please specify)
*
5
. Do you feel that your life is balanced in all areas (personal development, family, career, relationships, etc.)?
Do you feel that your life is balanced in all areas (personal development, family, career, relationships, etc.)?
YES
NO
Sometimes
Most of the time
Other (please specify)
6
. Surprised by your results?
If you would like to experience how coaching can assist you in improving your life, I would like to offer you a free consultation.
Simply provide your information below and I will contact you directly with further details.
Surprised by your results? If you would like to experience how coaching can assist you in improving your life, I would like to offer you a free consultation. Simply provide your information below and I will contact you directly with further details.
Name:
Email Address:
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