24 Hour Blueprint Quiz Assessment

1
What Emotion Best Describes Where You Are Right Now?
Humiliation
Blame
Despair
Regret
Anxiety
Craving/Longing
Hate/Anger
Self-Righteous
Affirmed
Trusting
Optimistic
Forgiving
Understanding/Clear
Honored/Loved
Calm/Joyful
Bliss
Indescribable
2
How Satisfied are you Spiritually?* This field is required.Rate Satisfied you are with your faith and belief in yourself
1. Extremely Unsatisfied
2. Unsatisfied
3. Neutral
4. Satisfied
5. Extremely Satisfied
3
How Satisfied are you Socially - with your relationships?* This field is required.Rate Satisfied you are with friendships and family. 1(Extremely Unsatisfied) - 5 (Extremely Satisfied)
1. Extremely Unsatisfied
2. Unsatisfied
3. Neutral
4. Satisfied
5. Extremely Satisfied
4
How Satisfied are you with your Finances?* This field is required.Rate how Satisfied you are with your financial situation
1. Extremely Unsatisfied
2. Unsatisfied
3. Neutral
4. Satisfied
5. Extremely Satisfied
5
How Satisfied are you with How You Handle Your Emotions?* This field is required.Rate how Satisfied you are with handling your emotions
1. Extremely Unsatisfied
2. Unsatisfied
3. Neutral
4. Satisfied
5. Extremely Satisfied
6
How Satisfied are you with Your Health, Fitness and Well-Being?* This field is required.Rate how Satisfied you are with your level of fitness and well-being
1. Extremely Unsatisfied
2. Unsatisfied
3. Neutral
4. Satisfied
5. Extremely Satisfied
7
Which of the areas below would you like to be most coached on?* This field is required.Rate how Satisfied you are with your level of fitness and well-being
Faith - Spiritual Growth
Social - Building Better Relationships
Money - Better Financial Decisions
Feelings - Handle Emotions Better
Fitness - Support with Better Health Choices
8
***Your Productivity LifeStyle Score is...(Drum Roll Please)***
9
Select Which of the Areas Below You Struggle With?* This field is required.You can pick more than one!
Procrastination
Being Consistent in Taking Action
Keeping a Positive Mindset
Being on Time
Staying Emotionally Grounded
Making time for Self Care
Staying Motivated
Staying Focused (Avoiding Distractions)
10
Who Are You?* This field is required.You can pick more than one!
Student
Professional
Business Owner/Entrepreneur
Virtual Admin (Applicant)
11
Select which tools you use to manage your time?* This field is required.You can pick more than one tool!
Google Calendar
Microsoft Outlook
Paper Calendar
Journal
Napkins, Envelopes, you name it
12
Name or Nickname You Like to Be Called* This field is required.This keeps us from referring to you as "Hey YOU..."
First Name
(Lastname Optional)
13
Best Phone No.Best Phone No. (ONLY for Inspirational Quotes and Messages)
14
Where should we send your Productivity score?* This field is required.Enter Your Email and that's where we'll send your quiz and score
example@example.com
15
Click to find out what your score {yourProductivity} means:

http://bit.ly/LetsFindOutWhatYourScoreMeans
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