Fulfillment CheckLet’s get to know you. By discovering where you are and where you want to go, we can chart a path to help you get there. Name * First Name Last Name Email * Age * 1. Professional: On a scale of 1 to 10, how fulfilled do you currently feel in your professional life? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What aspects of your professional life contribute to this level of fulfillment? Vision: How do you envision your ideal level of fulfillment in your professional life? What changes or improvements would make it a 10 on the scale? 2. Financial: On a scale of 1 to 10, how satisfied are you with your current financial situation? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What specific financial aspects or challenges influence your level of satisfaction? Vision: How do you wish your financial situation to be in an ideal scenario? What financial goals would make you rate it a 10 on the scale? 3. Relationships: On a scale of 1 to 10, how fulfilled do you currently feel in your relationships (including family, friends, and romantic)?n 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What dynamics or factors affect your satisfaction in your relationships? Vision: How would you like your relationships to be in an ideal state? What changes or improvements would make you rate them a 10 on the scale? 4. Personal: On a scale of 1 to 10, how fulfilled do you currently feel about your personal growth and self-improvement efforts? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What personal goals or achievements impact your sense of fulfillment? Vision: How do you envision your personal growth and self-improvement journey in its ideal form? What would make it a 10 on the scale for you? 5. Physical Health: On a scale of 1 to 10, how fulfilled do you currently feel about your physical health and fitness? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What aspects of your physical health or fitness contribute to your sense of fulfillment? Vision: How would you like your physical health and fitness to be in an ideal scenario? What health and fitness goals would make it a 10 on the scale? 6. Mental Health: On a scale of 1 to 10, how fulfilled do you currently feel about your mental health and emotional well-being? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What emotional and mental factors influence your sense of fulfillment? Vision: How do you wish your mental health and emotional well-being to be in an ideal state? What changes or practices would make it a 10 on the scale for you? 7. Environment: On a scale of 1 to 10, how fulfilled do you currently feel about your living and working environment? 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What aspects of your environment affect your overall sense of fulfillment? Vision: How would you like your living and working environment to be in an ideal scenario? What changes or improvements would make it a 10 on the scale? 8. Self Confidence: On a scale of 1 to 10, how fulfilled do you currently feel about your self-confidence and self-esteem? (1 being very unfulfilled, 10 being extremely fulfilled) 1 2 3 4 5 6 7 8 9 10 Reason: Please describe why you gave this rating. What factors, situations, or experiences impact your self-confidence and self-esteem? Vision: How do you envision your self-confidence and self-esteem in an ideal state? What steps or changes would make it a 10 on the scale for you? Add up all of your scores from the questions above. What is your total score? Thank you!
