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7 WELLBEING PILLARS

Discover what areas of your life need improvement, where your focus should be and how you can achieve your desired results

1 PHYSICAL WELLBEING

2 FINANCIAL WELLBEING

3 WORK & PRODUCTIVITY

4 EMOTIONAL & MENTAL WELLBEING

5 RELATIONSHIPS

6 LEADERSHIP

7 PURPOSE & MEANING

8 YOUR DETAILS

Physical wellbeing
How satisfied are you with your current state of your physical body, levels of energy, health and wellbeing?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about levels of energy, physical health and wellbeing?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What would you like to improve in terms of your physical wellbeing?*
Choose only the most important
- I feel good, nothing can stop me
- I would like to lose weight
- I would like to improve my digestion
- I would like to exercise more
- I would like to have better energy
- I would like to improve my sleep
- I would like to improve my skin condition
- I would like to improve my immunity

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Financial wellbeing
How satisfied are you with your current and predicted financial situation?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about your financial situation?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What is the biggest barrier in you achieving the desired financial situation?*
Choose only the most important
- I don’t have enough and the right kind of relationships
- Climbing the career ladder
- I lack the knowledge and specific skills
- I lack the confidence/ I feel I am not good enough to achieve my desired financial situation
- I wouldn't know where to start
- Lack of opportunities
- Lack of financial investment
- Lack of financial savings or assets

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Work & productivity
How happy are you with your current and future work/career?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about your work/career?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What would you like to improve in terms of your work/career?*
Choose only the most important
- I would like to have more meaning behind what I do
- I would like to accelerate my career progression
- I would like to launch or grow my business
- I would like to learn new skills/be more proficient (ie. how to trade money, etc)
- I would like to keep ahead of the curve in my field
- I would like to become more creative
- I would like to improve my memory and become mentally sharper
How effective are you at meeting your goals?*
- Extremely ineffective
- Very ineffective
- Somewhat ineffective
- Somewhat effective
- Very effective
- Extremely effective
How effective you would like to be in meeting your goals and ambitions?*
- Extremely ineffective
- Very ineffective
- Somewhat ineffective
- Somewhat effective
- Very effective
- Extremely effective
What in particular do you think would improve this aspect?*
- I would like to be more focused and have more discipline
- I would like to manage my time more effectively
- I would like to not be fire fighting all the time

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Emotional and mental wellbeing
How would you rate your emotional and psychological balance?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about your emotional and psychological balance?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What would you like to improve in terms of your emotional & mental wellbeing?*
Choose only the most important
- I would like to reduce my stress or respond better to stress
- I would like to have better mental clarity
- I would like to worry less/be less anxious
- I would like to read and understand better my emotions
- I would like to improve my self-confidence
- I would like to be able to keep disruptive emotions and impulses under control

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Relationships
How would you rate the quality of your current relationships?*
- Extremely untrustworthy
- Very untrustworthy
- Somewhat untrustworthy
- Somewhat trustworthy
- Very trustworthy
- Extremely trustworthy
What quality of your relationships you would like to have?*
- Extremely untrustworthy
- Very untrustworthy
- Somewhat untrustworthy
- Somewhat trustworthy
- Very trustworthy
- Extremely trustworthy
What in particular you would like to improve?*
Choose only the most important
- I would like to improve the quality of the relationship with my partner and my family
- I would like to find a suitable partner or find a social group that become my long life friends
- I would like to learn to communicate effectively and with influence
- I would like to expand my network of people that can help me achieve my goals
- I would like to meet investors and know how to become investable
- I would like to find a mentor or business coach

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Leadership
How would you rate your ability to lead, inspire and make an impact to people, community, society around you?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about your ability to lead, inspire and make an impact to the people, community and society around you?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What in particular would you like to improve in regards to leadership?*
Choose only the most important
- I would like to have a life vision and direction
- I would like to become a more effective leader
- I would like to focus on what is most important rather than “fire fight”
- I would like to become clearer as to how I would like to contribute in every role/assignment I will have
- I would like to become more assertive and inspire my team towards the company goals

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Purpose & meaning
How happy and fulfilled are you by your life?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
How would you like to feel about your happiness and fulfilment?*
- Extremely dissatisfied
- Very dissatisfied
- Somewhat dissatisfied
- Somewhat satisfied
- Very satisfied
- Extremely satisfied
What would you like to improve*
- I would like to make a bigger impact to the society
- I would like to help my community
- I would like to help the younger generation
- I would like to have more meaning and purpose in life
- I would like to learn what is my unique talent

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Email*
Name*
First Last
Phone
This field is for validation purposes and should be left unchanged.

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