EMPOWERED LIVING QUESTIONNAIRE

Vision: Empowering 10,000 Families to Prosper in Faith, Purpose, and Legacy. We believe that thoughts, beliefs, and emotions when aligned with God's truth can rewire the brain, strengthen emotions, health the body, and lead to success.
Mission: To equip believers with BIBLICAL insight and practical tools for changing unhelpful patterns into empowering habits that lead to thriving lives in Christ in every area spirituality, relationships, career, and health.

Instructions

For each statement, select the answer that best describes how true it is for you most of the time.

Use this scale:
1 – Strongly Disagree
2 – Disagree
3 – Not Sure / Sometimes
4 – Agree
5 – Strongly Agree

Full Name

Email *

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I work best when something challenges me and makes me think hard. (I see difficult tasks as an opportunity to grow in my faith, purpose, and abilities.)

No matter how much intelligence, skill, or ability I have now, I believe I can grow it through God’s help, effort, and learning.

I tend to magnify my mistakes and minimize my successes, even when God is clearly working in my life.

I fear making a mistake that others might see, so I often hold back from using my gifts or stepping into my calling.

I try to avoid conflict and confrontation, even when a loving, honest conversation could bring healing and strengthen relationships.

I am afraid I will say or do something that makes me look stupid or incompetent, so I sometimes stay silent when I should speak up.

I often avoid situations where I might be uncomfortable, even if those situations could help me grow spiritually, relationally, in my career, or in my health.

When I feel anxious or upset I sometimes experience difficulty swallowing or a lump in my throat.

I rely heavily on the opinions of others to make decisions instead of seeking God, wise counsel, and my own Spirit-led discernment.

I have difficulty knowing whom to trust and when to trust, which keeps me from forming healthy, supportive relationships that could empower me.

Part 2 — Life Stage & Desired Outcomes

These questions help us understand your situation, your goals, and how to tailor your Empowerment Plan.

Which best describes your current situation?

Which desired outcome would you like to achieve in the next 90 days? (Choose all that apply)

Which ONE outcome is the most important for you to achieve in the next 90 days? (Short answer)

Short Answer 625g

What have you already tried that hasn’t worked in the past? (Short answer)

Short Answer 7u0m

Which type of solution do you feel would serve you best?

Is there anything else you want us to know that would help us support you better? (Open-ended)

Long Answer 2np9