The Habit Mindset Survey

Question Title

* 1. What is your single biggest challenge about creating or breaking habits?

Question Title

* 2. What are your top 3 struggles you face regarding your habits?

I need help in starting them

I need help in breaking them

I need help in persisting with them

I don't know how to start

Other (please specify)

Question Title

* 3. What have you tried in the past to create/break habits?

Question Title

* 4. What would you like to learn in order to create good habits for life?

Question Title

* 5. What is your current goal regarding habits and where would you like to be a year from now?

Question Title

* 6. If we were to catch up 12 months from now, what achievement would you be most proud of in the progress toward your goal?

Question Title

* 7. Finally, would you like to be notified if I create free materials/trainings that matches what you need to help you create the life you want one habit at a time?

(you can skip it if you don't want to leave your name/e-mail but just submit your answers by clicking 'Submit' below).