Next-Level Life Pre-work

Next-Level Life Pre-work Questionnaire

Your Name*

Your Email*

Gender*

Male

Female

Age*

Will 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*

Married

Single

How many children do you have?*

Family Status:*

Describe what's positive and negative with your family today.

What best describes your current occupation?*

Entrepreneur

CEO/President

Team Member

Other

Career 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 up

Financial 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.

Please tell us your shirt size?

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