Page 1 of 2
Optimal Habits Questionnaire
Be as honest and detailed as possible. After filling in the questionnaire, I will send you your 3 optimal habits to get started with.
Personal Details
*
*
*
*
*
What external things in your life are bothering you right now?
*
Describe the emotions most present in your mind lately
*
What would you like to change in your life?
*
What do you work with and how many hours per week?
*
Do you worry about meeting your financial obligations?
*
Do you have empowering relationships in your life?
*
What makes you happy?
*
On a scale from 1 (strictly scientific) to 10 (very mystical), where would you place your personal beliefs?
*
On a scale from 1 (strictly scientific) to 10 (very mystical), where would you place your personal beliefs?
1
2
3
4
5
6
7
8
9
10
Submit