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POWERFULLY BROKEN ASSESSMENT™
What's Really Holding You Back?
Select the number that best describes you.
0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
click Next.
Full Name
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Phone
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Email
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1. I struggle to fully believe I am worthy of the life I want.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
2. I often compare myself to other people.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
3. I know I am capable of more than I am currently achieving.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
4. I sometimes feel like I have lost myself while helping everyone else.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
5. I have difficulty setting boundaries.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
6. I tolerate behavior I know I should not accept.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
7. I worry about disappointing people.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
8. I frequently put others' needs before my own.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
9. I have big goals but struggle with consistent execution.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
10. Fear of failure slows me down.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
11. Fear of judgment affects my decisions.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
12. I know what I want but struggle to create a plan.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
13. I replay past mistakes in my mind.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
14. I find it difficult to let go of hurt.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
15. Stress affects my sleep, focus, or energy.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
16. I feel emotionally exhausted more often than I would like.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
17. I have outgrown some people in my life.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
18. I know change is necessary but feel stuck.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
19. I am tired of repeating the same patterns.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
20. I am ready to become the person I know I was created to be.
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0 = Never
1 = Rarely
2 = Sometimes
3 = Often
4 = Almost Always
Yes or No: Do you know what skills are needed for the next step?
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Yes
No
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