Section A

Please consider the following areas of your life. 
Please rate on a scale from 1 to 10 how satisfied you are with each of the areas. 
1 being totally dissatisfied and 10 being totally satisfied.

Please check ONE ZONE that best describes your current situation. *
PAIN ZONE - You are mostly suffering. You are mostly in pain. Some of your most basic needs are not being met. You are paralyzed or stuck. You know you are living a life or working in a career that is not right for you. You feel heavy and sluggish. You do not feel happy or healthy. You are hurting deep inside. You feel helpless or hopeless. Each day is a struggle for you.

COMFORT ZONE - You are mostly drifting. You are mostly comfortable. Most of your immediate needs are being met. You have settled into unconscious habits and routines. You have lost your passion and excitement for life. Your decisions are mostly based on responsibilities and the expectations of others. You are deferring personal responsibility. You have lost touch with who you are and what you want from life. You are selling yourself short. You are settling for less. You are missing a depth and richness in your life. You are beginning to feel lost.

HAPPY ZONE - You are mostly happy. You are in awe of life and all the riches it has to offer. Your life honors and reflects your values. You make conscious choices regarding the quality and direction of your life. Life excites you. Life energy flows through you. You challenge yourself. You exercise your mind, body and spirit. You feel connected. You smile, grin and laugh a lot. You make a difference in the lives of others. You seek to accelerate and expand your ability to touch the hearts of others with greater scope and impact.
How did you find me? *
Name *