We are about to dive in

Please take some time to fill in the following questions.

I invite you to be as honest with yourself as possible, there are no ‘right’ or ‘wrong’ answers.

Name

First Name

Last Name

On a scale of 1 to 10, how would you rate your current happiness level?

What makes you the most happy in your life currently?

On a scale of 1 to 10, how would you rate your current stress level?

What is your super power? OR if you don’t feel like you have found one yet, if you had a super power, what would it be? Are there any other super powers you would want to add?

What do you value most in your life right now?

What are the 3 most important changes you would like to make in your life over the next 3 years?

What are 3 things that you feel are hindering you the most from getting you to where you want to be?

Write down 3 emotions you would feel by achieving your goals.

Where would you like to see yourself directly after this program is over? What do you think it will take to get there?

How willing are you to do what it takes to get there? Tick below which sentence best describes how you are feeling today.

I’m all in, let’s get the show on the road!

Slow and steady is the way to go.

This is going to be hard…

We are about to dive in

Please take some time to fill in the following questions.

All pricing on this page is written in NZD.

© Bernadette Marama Gavin | Raglan, New Zealand 2018
Web design by Sabrina Weber