First Name

Last Name

Phone *

Email *

When facing a challenge, how do you feel about your abilities? *

I see challenges as opportunities to grow and trust myself to handle them confidently

I believe in myself and take action, even if I occasionally second-guess my approach.

I generally trust my abilities but sometimes seek reassurance before taking big steps.

I hesitate when facing new challenges, preferring to stay in familiar situations.

I often feel unsure of my abilities and prefer to avoid challenging situations.

How do you feel about your career growth and financial success? *

I believe in my potential and actively pursue success with confidence.

I am committed to my success but sometimes question whether I am making the right decisions.

I have ambitions but occasionally struggle with clarity on the best path forward.

I want success but often feel uncertain about my next steps or how to achieve it.

I feel like achieving true success is difficult for me, no matter how hard I try.

How do you approach relationships & personal boundaries *

I have strong, supportive relationships and feel confident in setting boundaries.

I value deep relationships but sometimes struggle to communicate my own needs effectively.

I maintain good relationships but occasionally worry about what others think of me.

I sometimes feel like I need to prove my worth or work extra hard to be valued by others.

I struggle to believe I fully deserve love and respect in my relationships.

What is your response when things don't go as planned? *

I see setbacks as learning opportunities and use them to grow stronger.

I handle challenges well but sometimes need time to regain my momentum.

I do my best to stay positive, though setbacks can occasionally shake my confidence.

I struggle to bounce back quickly and sometimes feel discouraged by difficulties.

I often feel overwhelmed by setbacks and doubt my ability to recover from them.

How do you approach work, rest and self-care? *

I prioritise my well-being and maintain a healthy balance between work, rest, and self-care.

I generally maintain balance but sometimes overextend myself in commitments.

I aim for balance but occasionally struggle to say no to others’ demands.

I often put others’ needs before mine, leading to exhaustion or stress.

I rarely prioritise self-care and find it difficult to take time for myself.

How do you feel about financial success? *

I see money as a tool and trust my ability to create financial security and abundance.

I believe in my financial potential but sometimes feel uncertain about long-term stability.

I try to manage money wisely but occasionally experience stress about financial decisions.

I believe money is hard to earn and keep

I often feel that financial success requires extreme effort and is hard to maintain.

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