Fear vs. Freedom 100% of survey complete. Question Title * 1. Would you like to receive an audio recording (as my gift to you for completing the survey) on "Creating Freedom In Your Life"? If YES, complete below. If NO, go on to next question. Name: Email Address: Question Title * 2. Fill In the Blank: If the people I love most, thought I was ________________________ it would devastate me. Selfish Weak Incompetent Stupid Rejected A Loser Ordinary A Fake Invisible Lazy Other (please specify) Question Title * 3. Which of the words below come up for you often in you daily life? They may be words you say to/about yourself, use to describe others, or is it a word that you avoid or ignore because it makes you feel uncomfortable. Unlovable Insignificant An Outcast Inadequate A Failure Foolish Helpless Damaged Goods Worthless A Disappointment Other (please specify) Question Title * 4. Rank the list below in order of which you value most, with #1 being the thing you value the very most: 1 2 3 4 5 6 7 8 9 10 Achieving 1 2 3 4 5 6 7 8 9 10 Connection/Being Needed 1 2 3 4 5 6 7 8 9 10 Recognition 1 2 3 4 5 6 7 8 9 10 Knowledge 1 2 3 4 5 6 7 8 9 10 Being Busy 1 2 3 4 5 6 7 8 9 10 Control 1 2 3 4 5 6 7 8 9 10 Acceptance 1 2 3 4 5 6 7 8 9 10 Niceness 1 2 3 4 5 6 7 8 9 10 Potential 1 2 3 4 5 6 7 8 9 10 Truth Question Title * 5. Do you consider yourself a (choose all that apply) Workaholic Rebel People Pleaser Wall Flower Tough Chick Powerhouse Superwoman Sweetheart Spiritual Seeker Ugly Duckling Doormat Soul Sister Side Kick Tom Boy Other (please specify) Question Title * 6. What is your deepest fear? (You know, the one that keeps you up at night and keeps you from achieving your dreams.) Question Title * 7. When you don't want people to know the "real you", you act or behave this way instead: Question Title * 8. What do you do when you are feeling triggered by your fears? List as many behaviors as you can think of. (Example: procrastinate, smoke, shop, people pleasing, compromise, manipulate others, isolate, etc.) Question Title * 9. I would like to know more about: Discovering My True Power and Purpose How To Freely Be My Authentic Self Creating My Ideal Lifestyle How to Stop People Pleasing and Start Pleasing Myself Recovering from Superwoman Syndrome How to Be Highly Successful How to Manage My Time and My Life Other (please specify) Question Title * 10. If you could attend a program that would help you to be free of your fears and create a life you love, would you? Yes! No, I like staying stuck. Maybe, it depends on the cost. Maybe, it depends on how long it would last. Maybe, it depends on when the program would be. Other (please specify) Done