Next-Level Life Pre-work Next-Level Life Pre-workYour Name *Your Email *Gender *MaleFemaleAge *18-2425-3435-4445-5455-6465-7475 and olderWill your spouse attend? If so, what's his or her name and T-shirt size?: *Do you have any dietary restrictions? * Life Status:Relationship Status *MarriedSingleHow many children do you have? *Family Status: *Describe what's positive and negative with your family today.What best describes your current occupation? *EntrepreneurCEO/PresidentTeam MemberLeaderOtherCareer Status: *Describe what's positive and negative with your career today.God Status: *Describe what's positive and negative with your relationship with God today.Social Status: *Describe what's positive and negative socially (community/friends) today.Personal Status: *Describe what's positive and negative personally (i.e. personal growth, learning, emotional health, etc.) today.What are internal problems you're struggling with? *(Ex. Stress, discontent)What are external problems you're struggling with? *(Ex. Conflict with family)What are philosophical questions you're struggling with? *(Ex. Will my spouse and I ever be on the same page? Will life always be this hard?)If you could wave a magic wand, what do you desire your life to look like? *On the other side of your Next-Level Life, what would you like to see improved in your life? *If you didn't attend Next-Level Life, how could you see life getting worse? *Approximate average household income *0 - $24,999$25k - $49,999$50k - $74,999$75k - $99,999$100k - $149,999$150k - $199,999$200k - $499,999$500k and upFinancial Status: *Describe what's positive and negative with your finances today.Physical Status: *Describe what's positive and negative with you physically (health/fitness level) today. Top Influencers:List the 10 people (by name and excluding your children under age of 18) you spend the most time with. * Surface Level Responses:Check all surface level responses that you are struggling with. Getting worth from peoplePeople pleaserNeed for approvalFear of failureNot good enoughUnhealthy boundariesDefensivenessNeed to be rightControllingFeeling out of controlUnworthyVictim mentalitySelfishnessSelf sabotageFocus on feelings vs factsShameGuiltAngerProtecting with wallsSurvival modeIsolationJealousyNegative self-talkMaking assumptionsGetting worth from accomplishmentsComparing myself to othersWorryPerfectionismUnlovableInsecurityJudgmentalDenialSubmissionResponsible for others well-beingAnxietyFearPrideCodependentBlameForce-of-habit thinkingPlease tell us your shirt size? SmallMediumLargeX-LargeXXL VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
