
1. Are you SATISFIED with your life overall?
Yes ………./No
2. Are you having FUN in your life?
Yes …………... / No ……….....
3 Are you HAPPY with your current CAREER?
Yes ……………. / No …………
4.Are you feeling overwhelmed, too BUSY or too cluttered?
Yes …………… / No ……………..
5. I like myself:
-5 ..................................................0.............................................+5 (Please mark with an X)
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7. What could be IMPROVED in your life at the moment?
........................................................................
8. I am looking: (please tick all that apply)
r For More Meaning/Purpose in Life
r For More Fulfilment/Happiness in Life
r For More Ease/Simplicity or Balance in Life
r For More Freedom and/or Inner Peace in Life
r To Change or Move Forwards in my Career
r To Achieve my Goals Faster/More Easily
r To Learn to Trust Myself More/Be My Authentic Self
r Other (If there was something you haven’t mentioned yet, what would it be?) _________________________________
9. Are you ready to take ACTION and make changes in your environment, habits and life?
I will gladly help.
Email: tonylinz@telkomsa.net Cell number: 0726312469