Form cover
Page 1 of 2

Take A Moment For Yourself

Answer honestly. There are no wrong answers. This is just for you.

What should we call you?

What's your email?

How do you typically respond to feedback?

How do you typically respond to feedback?

When was the last time you truly felt alive? What were you doing?

If fear did not exist, what would you be doing differently today?

Is there a decision you regret?

Who do you trust more?

Who do you trust more?

Have you ever faced consequences for making choices your family disagrees with?

Describe a moment when you disappoint yourself

What does success truly mean to you?

What emotion do you feel when you think about a past relationship?

What emotion do you feel when you think about a past relationship?

I prefer to work with

I prefer to work with

Do you prefer clear instructions or the freedom to figure it out yourself?

I would rather

I would rather

What do you think about when you are at work?

Do you have a retirement fund?

Do you have a retirement fund?

Do you love your job?

Do you love your job?

How often are you late for work?

How often are you late for work?

What's one task or responsibility you would never want in your career?

What's more important?

What's more important?
Your privacy is important to us. The information you provide in this test, including your name and email, will be used solely to generate and send you a personalized report based on your responses.