Exit this survey Jim's blog friends 1. Jim's Blog Survey Thanks again for taking the time to do this survey. Your answers will help me help you and others like you. Question Title * 1. Your name: Question Title * 2. Your email: Question Title * 3. What is the one thing you need most right now, in order to get to the next level (with your life, your business, etc)? Question Title * 4. What's stopping you? What's frustrating you? What's holding you back? Question Title * 5. Which of the following resonate as something you need the most help with? Rate each item from 1 to 5; 1 being most important to you and 5 being the thing you need least help with. 1 2 3 4 5 Productivity / effectiveness Productivity / effectiveness 1 Productivity / effectiveness 2 Productivity / effectiveness 3 Productivity / effectiveness 4 Productivity / effectiveness 5 Getting started today (saying "YES!") Getting started today (saying "YES!") 1 Getting started today (saying "YES!") 2 Getting started today (saying "YES!") 3 Getting started today (saying "YES!") 4 Getting started today (saying "YES!") 5 Getting it done... finishing what you've started Getting it done... finishing what you've started 1 Getting it done... finishing what you've started 2 Getting it done... finishing what you've started 3 Getting it done... finishing what you've started 4 Getting it done... finishing what you've started 5 Creativity and unhindered expression Creativity and unhindered expression 1 Creativity and unhindered expression 2 Creativity and unhindered expression 3 Creativity and unhindered expression 4 Creativity and unhindered expression 5 Confidence (overcoming self-doubt, fear, and negative self-talk) Confidence (overcoming self-doubt, fear, and negative self-talk) 1 Confidence (overcoming self-doubt, fear, and negative self-talk) 2 Confidence (overcoming self-doubt, fear, and negative self-talk) 3 Confidence (overcoming self-doubt, fear, and negative self-talk) 4 Confidence (overcoming self-doubt, fear, and negative self-talk) 5 Question Title * 6. Which of these following stand out as something you could use the most help with? (Same drill: 1 = most important and 5 = least needed. ) 1 2 3 4 5 Recognition for creative excellence / exposure Recognition for creative excellence / exposure 1 Recognition for creative excellence / exposure 2 Recognition for creative excellence / exposure 3 Recognition for creative excellence / exposure 4 Recognition for creative excellence / exposure 5 Love / relationships / harmony Love / relationships / harmony 1 Love / relationships / harmony 2 Love / relationships / harmony 3 Love / relationships / harmony 4 Love / relationships / harmony 5 Focus (without distraction) Focus (without distraction) 1 Focus (without distraction) 2 Focus (without distraction) 3 Focus (without distraction) 4 Focus (without distraction) 5 Staying true to your dream Staying true to your dream 1 Staying true to your dream 2 Staying true to your dream 3 Staying true to your dream 4 Staying true to your dream 5 Self knowledge / clarity / vision Self knowledge / clarity / vision 1 Self knowledge / clarity / vision 2 Self knowledge / clarity / vision 3 Self knowledge / clarity / vision 4 Self knowledge / clarity / vision 5 Question Title * 7. Which of these following resonate as something you could use the most help with? (Same drill) 1 2 3 4 5 Eating right Eating right 1 Eating right 2 Eating right 3 Eating right 4 Eating right 5 Exercising daily Exercising daily 1 Exercising daily 2 Exercising daily 3 Exercising daily 4 Exercising daily 5 Stopping smoking or overcoming addiction Stopping smoking or overcoming addiction 1 Stopping smoking or overcoming addiction 2 Stopping smoking or overcoming addiction 3 Stopping smoking or overcoming addiction 4 Stopping smoking or overcoming addiction 5 Feeling happy and grateful and blessed Feeling happy and grateful and blessed 1 Feeling happy and grateful and blessed 2 Feeling happy and grateful and blessed 3 Feeling happy and grateful and blessed 4 Feeling happy and grateful and blessed 5 Feeling engaged and living fully in the now Feeling engaged and living fully in the now 1 Feeling engaged and living fully in the now 2 Feeling engaged and living fully in the now 3 Feeling engaged and living fully in the now 4 Feeling engaged and living fully in the now 5 Question Title * 8. Which of these following stand out as something you could use the most help with? (Same drill) 1 2 3 4 5 Raising money for charity Raising money for charity 1 Raising money for charity 2 Raising money for charity 3 Raising money for charity 4 Raising money for charity 5 Wealth / abundance / income / supply for personal/family needs Wealth / abundance / income / supply for personal/family needs 1 Wealth / abundance / income / supply for personal/family needs 2 Wealth / abundance / income / supply for personal/family needs 3 Wealth / abundance / income / supply for personal/family needs 4 Wealth / abundance / income / supply for personal/family needs 5 Finding right work Finding right work 1 Finding right work 2 Finding right work 3 Finding right work 4 Finding right work 5 Growing a successful business / taking your biz to the next level Growing a successful business / taking your biz to the next level 1 Growing a successful business / taking your biz to the next level 2 Growing a successful business / taking your biz to the next level 3 Growing a successful business / taking your biz to the next level 4 Growing a successful business / taking your biz to the next level 5 Finding / making the time to do the important stuff Finding / making the time to do the important stuff 1 Finding / making the time to do the important stuff 2 Finding / making the time to do the important stuff 3 Finding / making the time to do the important stuff 4 Finding / making the time to do the important stuff 5 Question Title * 9. Out of all of the above, including your answer to question #3...Which 1 item is REALLY the most important to you? Which one, if you succeeded with it, would cause the most good and the most subsequent blessings in your life? Question Title * 10. Is there anything else you'd like to tell me? Any other comments? Question Title * 11. Your mailing address (so I can thank you): Done