Life Evaluation Survey

Instructions:

1. Take out pen and paper. Read though the question and give yourself some time to answer it. Once you have the answer, give 1 point for the first answer per question, 2 points if you answer the second, 3 for the third and 4 for the fourth. For example, on question #1. . ."I am happy with my current financial situation," if you answered "I am extremely happy," this would be 1 point. If you answered "I am ok. Some areas I want improvement," it would be 2 etc.

2. Once you are completed with all 10 answers, add up your score and choose one of 2 options at the bottom of the page.

Now for the BIG one. . . . forward this to someone you trust and have them fill out the Survey and provide the answers they think YOU would GIVE. It is interesting to see how other perceive you. Perhaps it provides insight as well.

1. I am happy with my current financial situation.

	I am extremely happy.
	I am ok. Some areas I want improvement.
	I am very unhappy to say the least.
	Total disaster. I need help now!

2. I believe there is more than enough for everyone, including me.

	Absolutely true. 100%.
	Most of the time I believe this.
	Sometimes I believe this.
	No. There is a finite amount.

3. My feelings toward "rich people are usually:

	I respect rich and want to achieve that level myself.
	Mostly, I like the rich. Sometimes, I get upset with them.
	Indifferent. Some are fine. Others, not so much.
	I do not like rich people. They're the source of problems.

4. My health is:

	Exceptional. I feel great.
	Other than a handful of issues, my health is pretty good.
	Most of the time, it is below average.
	A disaster. Help!

5. As I get older, I expect my health to:

	My health is great. I expect this to continue.
	Some areas will get worse, some same, some better.
	Probably get worse but what can you do?!
	Get even worse than what it is now.

6. My diet is:

	Exceptional. My diet is a part of my lifestyle.
	Not bad. There are areas that I can improve.
	Poor but so are most people's diet.
	A train wreck. A near total disaster.

7. I am in a happy relationship.

	Absolutely. I love my mate and s/he feels the same way.
	Kind of true. I am happy but in need of improve
	False. I used to be but not now
	I am not even sure what one looks like.

8. My friends are:

	A big part of my life. There are a great group.
	Fine. Some are a joy and others are not.
	A bothersome group as a whole. Maybe one exception.
	What friends? I live a pretty isolated life.

9. I consider myself:

	A healthy, happy individual who is participating in life.
	Sometimes I really like me and other times, not so much.
	Just me. Nothing more.
	I don't like these types of questions. I am the way I am.

10. As it relates to the important things in my life -- Family, Career, Spirituality etc., I feel:

	I feel great. . I am the co-creator of my life.
	Sometimes o.k., and others times it is tough.
	Nothing you can do about it. That's the way it goes.
	Life is tough.

11. If you would like the Free Full Evaluation, please be sure to add your initials and zip code in the box below. We cannot provide the Full Evaluation without this information. ALL information is kept 100% private and confidential.

Ex/ DO34761