Let's Start Wiping Out Self Doubt ->

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* 1. How many days a month do you invest in personal development education? e.g. reading books/online, attending courses, educational groups

Rarely

1 day per month

1-2 days per month

3-5 days per month

More than 5 days per month

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* 2. Which of these statements best describes how you prefer to help others?

I never offer assistance, I don't have any knowledge that's useful to others

I tend to avoid giving help or guidance to others but will when asked

If it’s something I have expertise in, I will let people know I can help

I love to see other people thrive so proactively offer my help at any opportunity

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* 3. How often do you talk to other people about the goals you want to achieve?

Never

Rarely

Sometimes

Usually

Always

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* 4. How frequently do you listen to your gut instinct and act in accordance with its direction?

Always and without hesitation

Most of the time and I regret it when I don't

I use it when it's useful and ignore it when it's not

My gut instinct has always failed me

I wish my gut instinct would speak up so I can hear it!

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* 5. How important is it that you live your life to its full potential?

Not at all important

Not so important

Somewhat important

Very important

Extremely important

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* 6. Which of the following describes the way you set personal goals?

I pursue whatever grabs my attention at the time and makes me feel happy

I benchmark my current skills against others, then set my goal

I don't bother setting goals, goals a pointless and frustrating

I have ideas about goals I would like to achieve, but I'm not quite brave enough to commit

I have a clear personal mission and all my goals align with that

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* 7. How patient are you when solving a complex problem?

Very impatient - I get frustrated/distracted easily

Impatient

Depends - Sometimes patient, sometimes not

Patient

Very patient - the answer will show itself when the time is right

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* 8. How frequently do you experience negative self-talk?

Every day

A few times a week

A few times a month

Rarely

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* 9. A friend confides in you that she has failed to achieve a goal. Which of these statements best describes your most likely response.

You offer comforting comments, but mentally you've already mapped out how you would have done things differently and succeeded.

You challenge her on her definition of failure and explore her motivations for choosing the goal.

You remind her that failure is an intrinsic part of success. No pain, on gain. Winning in the face of adversity is why we take on challenges in the first place.

You offer comforting comments, but quietly you're glad she has failed. At least now she might let go of the ridiculous idea that she had!

You explore what her gut instinct had told her at various stages of her journey and what her next steps might be in pursuing what's important to her.

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* 10. When was the last time you had a big belly laugh? You know, the one that makes tears roll down your face.

Today, and most other days too

Sometime this week

Sometime this month, I think

Sometime in the last year, it's been a tough one!

What's laughing got to do with any of this?

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* 11. How frequently have you done the following behaviours in the last 6 months?

	Not at all	Maybe once or twice	Monthly	Weekly	Daily
Procrastinate about starting an important task or project	Procrastinate about starting an important task or project Not at all	Procrastinate about starting an important task or project Maybe once or twice	Procrastinate about starting an important task or project Monthly	Procrastinate about starting an important task or project Weekly	Procrastinate about starting an important task or project Daily
Frequently burden yourself with negative self-talk	Frequently burden yourself with negative self-talk Not at all	Frequently burden yourself with negative self-talk Maybe once or twice	Frequently burden yourself with negative self-talk Monthly	Frequently burden yourself with negative self-talk Weekly	Frequently burden yourself with negative self-talk Daily
Have exciting thought-bubbles or ideas that go nowhere	Have exciting thought-bubbles or ideas that go nowhere Not at all	Have exciting thought-bubbles or ideas that go nowhere Maybe once or twice	Have exciting thought-bubbles or ideas that go nowhere Monthly	Have exciting thought-bubbles or ideas that go nowhere Weekly	Have exciting thought-bubbles or ideas that go nowhere Daily
Play down things that are important to you so other people feel more comfortable	Play down things that are important to you so other people feel more comfortable Not at all	Play down things that are important to you so other people feel more comfortable Maybe once or twice	Play down things that are important to you so other people feel more comfortable Monthly	Play down things that are important to you so other people feel more comfortable Weekly	Play down things that are important to you so other people feel more comfortable Daily
Get overwhelmed by having too much to do and no time to do it	Get overwhelmed by having too much to do and no time to do it Not at all	Get overwhelmed by having too much to do and no time to do it Maybe once or twice	Get overwhelmed by having too much to do and no time to do it Monthly	Get overwhelmed by having too much to do and no time to do it Weekly	Get overwhelmed by having too much to do and no time to do it Daily
Second-guess yourself, questioning your decisions and abilities	Second-guess yourself, questioning your decisions and abilities Not at all	Second-guess yourself, questioning your decisions and abilities Maybe once or twice	Second-guess yourself, questioning your decisions and abilities Monthly	Second-guess yourself, questioning your decisions and abilities Weekly	Second-guess yourself, questioning your decisions and abilities Daily
Say 'Yes' to doing things that drain time away from your personal priorities	Say 'Yes' to doing things that drain time away from your personal priorities Not at all	Say 'Yes' to doing things that drain time away from your personal priorities Maybe once or twice	Say 'Yes' to doing things that drain time away from your personal priorities Monthly	Say 'Yes' to doing things that drain time away from your personal priorities Weekly	Say 'Yes' to doing things that drain time away from your personal priorities Daily

Other (please specify)

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* 12. What is your gender?

Male

Female

Other

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* 13. Send me a free subscription to "The Route to Unstoppable" so I can learn new ways to wipe out self-doubt.

Yes

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