Home
About
Blog
Leadership
Quiz
Home
About
Blog
Leadership
Quiz
Which Stage of Change are you experiencing right now?
*
Indicates required field
Which stage of change are you experiencing right now?
*
Replicating (18-25) Living the life you learned.
Rewarding (26-35) Living the life you earned.
Rethinking (36-50) Are you living the life you want?
Reinventing (51-70) Are you living the life of your dreams?
Recalibrating (71 +) Are you living without regret?
How do you spend your time?
*
Employed (FT or PT)
Entrepreneur
Retired
Unemployed
Where do/did you experience the greatest success?
*
Career & Finance
Health & Wellness
Relationships
Personal Growth
Spiritual Growth
What area holds your deepest desires?
*
Career & Finance
Health & Wellness
Relationships
Personal Growth
Spiritual Growth
I want for nothing
Any regrets?
*
Career & Finance
Health & Wellness
Relationships
Personal Growth
Spiritual Growth
None
How many times have you tried to fix something in your life?
*
Never
1-5
6-10
11-20
Too many to count
Where did you look for help with this?
*
Family or Friends
Online
Counseling
Group Support
All of the above
Within - I can do this myself
How is it now?
*
Much Better
Somewhat Better
About the Same
Somewhat Worse
Much Worse
Would you like to talk confidentially about it?
*
Yes
Maybe
You're kidding, right?
Share only as much as you're comfortable with.
If you leave contact information, Kim will reach out to you personally at no charge.
Name
*
First
Last
Email
*
Phone Number
*
I agree to receiving marketing and promotional materials
Click to Save
