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Are You Ready to Break Free from Fear & Step Into Your Power?

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1) Do you ever experience fear *

A) Yes

B) No

C) Not Sure

2) How often do you hold back because you're afraid of what others will think? *

A) Often

B) Sometimes

C) Rarely

D) Never

3) When was the last time fear stopped you from taking a risk or trying something new?

4) How often do you say “yes” to things you don’t want to do because you're afraid of disappointing someone?

A) All The Time

B) Sometimes

C) Rarely

D) Never

5) Do you struggle with self-doubt, even when things are going well?

A) Yes, It’s Constant

B) Yes, Sometimes

C) Rarely

D) No, I’m Very Confident

6) How often do you feel stuck, like something is holding you back from living the life you truly want?

A) Everyday

B) Often

C) Occasionally

D) Almost Never

7) What’s your biggest fear when it comes to pursuing your dreams or goals?

A) Failing and being judged

B) Not Being Good Enough

C) Losing Control

D) Something else. Explain Below.

8) When fear shows up, how do you typically respond?

A) I avoid the situation completely

B) I delay taking action, hoping the fear will go away

C) I push through, but it feels overwhelming

D) I face it head-on with confidence

9) When was the last time you said “no” to something that didn’t align with your values or goals?

A) I can’t remember

B) Recently, but it was really hard

C) I’ve done it a few times, but I still struggle

D) I say no when needed and feel confident doing so

10) How do you handle situations where you're afraid of failing?

A) I don’t even try because the fear is too strong

B) I overthink and second-guess myself

C) I try, but find it hard to stay motivated

D) I face failure as a part of growth and keep moving forward

11) Do you struggle with perfectionism, and does it stop you from moving forward?

A) Yes, I often don’t finish things because they’re never “good enough”

B) Yes, I spend way too much time trying to make everything perfect

C) Sometimes, but I’ve learned to let go of small things

D) No, I’ve embraced that progress is more important than perfection

12) How comfortable are you with setting boundaries in your personal and professional life?

A) I rarely set boundaries, I’m afraid of disappointing others

B) I try, but it’s uncomfortable and I often backtrack

C) I’m getting better, but it’s still a work in progress

D) I confidently set and maintain boundaries

13) Do you feel like fear is affecting your relationships with others?

A) Yes, I avoid difficult conversations because I’m afraid of conflict

B) Yes, I tend to people-please to avoid rejection

C) Sometimes, I’m still learning to navigate this

D) No, I’m confident in how I communicate and manage my relationships

14) How often do you feel like you're "not enough" (not smart enough, not pretty enough, not successful enough, etc.)?

A) All the time, it’s a constant thought

B) Often, I compare myself to others and feel less than

C) Sometimes, but I’m learning to see my value

D) Rarely, I know I’m worthy and enough as I am

15) What is your biggest fear when it comes to stepping into your full power?

A) That I’ll fail and disappoint myself or others

B) That people won’t accept the “real” me

C) That I’ll lose control or everything will change

D) That I don’t even know where to start

E) Something Else. Please Explain

Explain Detailes Here

16) Are You Ready To Face Your Fears & Overcome Them Now

A) Yes

B) No

C) Not at this time

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