Do You Love Your Life?

 
     
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Thank you for taking the time to share your answers!  In return, we would like to provide you value in the following ways:

  • By designing questions about your life, that you may not have considered recently or ever, to help you move toward a life you will love even more by:
    • Remembering what it was that you really want in your life
    • Bringing your attention to where you have achieved your dreams and areas in your life that you would like to enhance
  • Your answers help us understand your needs and desires and assist us in prioritizing our upcoming offerings. 

As you respond to the questions, imagine your perfect dream life.  If you could design your life, what would it look like?  Thinking about your current life, indicate how closely you are living your ideal life for that aspect. 

*An asterisk indicates a required field.
How satisfied are you with your work/career? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with where and how you live (lifestyle)? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your financial resources? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with the amount and quality of fun and relaxation in your life? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your spirituality? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your community involvement? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your sense of freedom, flexibility, and opportunities? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your relationship with your spouse or partner (as you desire this primary relationship to be)? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your relationships with your family? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your relationships with your friends? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
How satisfied are you with your relationships with your business associates or co-workers? Very satisfied   Mostly satisfied   Somewhat satisfied   Somewhat dissatisfied   Very dissatisfied  
I would like to lose weight Yes   No  
I would like to be in better shape Yes   No  
I would like more time to do activities that I think are fun Yes   No  
I would like to have more energy Yes   No  
I would like to have more peace Yes   No  
I (always, usually, sometimes, rarely, never) feel great physically Always   Usually   Sometimes   Rarely   Never  
I (always, usually, sometimes, rarely, never) know how I am feeling, emotionally Always   Usually   Sometimes   Rarely   Never  
How often do you feel you are putting on a mask or playing a role? This is as you define it: anytime you feel that you are not really being “yourself”. Some examples may be: “being a professional”, “acting my age”, dressing in ways you would not choose to dress, etc. Always   Usually   Sometimes   Rarely   Never  
I think of aging as: Fight it any way possible   Necessary evil   Part of life   Only a number for the years I have lived  
Is your work your passion? Yes   Sometimes   No  
Do you own your own business? Yes   No  
Are you employed by someone else? Yes   No  
*What would you like more of in your life?
*What would you like less of (or to eliminate) in your life?
What is your age? Under 20 years   21 to 30 years   31 to 40 years   41 to 50 years   51 to 60 years   61 to 70 years   71 to 80 years   Over 80 years  
What is your gender? Male   Female  
Are there any other comments you would like to share regarding loving your life?
If we post these comments, would you like us to display: Anonymous   Your first name   Your first and last names  
Would you like to subscribe to our free eNewsletter? We will never share or sell your email address. You can opt out with one click – at any time. Yes   No  
*Email Address
*First Name
Last Name