Baseline Self Assessment Quiz
Name
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Email
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If you have to look back at your life through all these years and at the present, which of the following is true?
1. Health
More healthier now than few years ago
Health has gone down in some aspects
Consistent health over the last few years
Other
Describe
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2. Physical Fitness, Stamina and Vitality
More fit, have more stamina and vitality and now than a few years ago
It’s gone down in the last few years
More or less consistent
Other
Describe
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3. Career / Business
Have grown significantly in the last few year
Stagnant
Going down
Was hit due to Covid, but recovering fast
Other
Describe
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4. Professional Skilling
Gone to the next level in my professional skills - both Domain expertise as well as Leadership skills
Yet to discover what has to happen for me to get ready to go at least levels uP!
In terms of capabilities, I’ve been more or less at the same level in the last few years - no significant growth
Other
Describe
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5. Relationships (Family and Friends)
Deeper and better quality of relationships now than ever before
Strained relationship more in the recent times
Lost touch with some people and moderately okay relationships with the closer circle
Relationships in bad shape
Other
Describe
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6. Time and Money
Have more time, more money now than earlier - and on a trajectory of getting even better
Have more time, but not much money
Money is not a problem, but really have no time
Other
Describe
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7. Love and Intimacy
In a great space
Not in a great space compared to before
Has been missing for a while now
Other
Describe
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8. Sleep
Quality of Sleep is great!
Quality of Sleep is fabulous on most days… there are some rare off days
Not been getting good sleep
Chronic sleep issues
9. Satisfaction And Stimulation
At the end of the day, I’m feeling good, satisfied and look forward to the next da
Low on satisfaction, intellectual stimulation and inspiration
Satisfied in some areas, dissatisfied about other areas and I’d like to improve them
Other
Describe
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10. Legacy
My vision and scale of impact I want to create has changed now and I feel excited about where I want to go
Not in a mind space to think Legacy and Impact - just have a lot of fix right now - and sail through
I want to Launch a Legacy in 2-3years, not take another 10-20 years, and I’m ready to prepare, upgrade and do what it takes to live a great life across all aspects
Other
Describe
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What are the Top 3 areas you would like to break statusquo and get breakthroughs in?
If you could Get Immediate breakthroughs - in these areas above (say within the next 30 days), what would it mean to you?
What are some of the things you would do, when you get these breakthroughs and how will it enrich the quality of your life?
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