Emotional Health Survey

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Hello

I'm Beverley Roberts, Emotional Health Coach, and I am undertaking some research on the state of people's emotional health for a book I am writing, and offering a new model of support moving forward. I believe too many people are suffering alone, held prisoner by their emotions and living a life of limitation, frustration or despair as a result. I know this, because I lived that way for a long time too, and the more I have shared about emotional suffering, the more I find people are saying, 'yes, me too'.

I want to help change this, to help alleviate emotional suffering, to help people lift themselves and their lives higher, to feel better about themselves and their lives on a regular basis. To do so, I am asking people to complete this short survey about the the state of their emotions and the effect of this on their life. For anyone who is interested, I offer a way to connect and find out more at the end.

I thank you for your time in completing this survey. It is anonymous unless you choose to share contact details.

I am over 18 years old *

Yes

1) Do your emotions get in the way of you living the fulfilling life you want to? *

Yes

More often than is good for me

2) Please tick if any of the following are creating an on-going problem in your life, in relation to your emotional state: *

Anxiety

Depression

Despair with yourself

Despair with life

Lack of direction

Feeling like an emotional sponge (taking on everyone else's problems)

Living on an emotional rollercoaster

Weight concerns

Money concerns

Alcohol or substance misuse

Other

None

Required

3) If you answered 'Other' in Question 2, please share if you want to:

4) Are you under medical / professional care for your concerns in questions 2 or 3? *

Yes

Prefer not to answer

Not applicable

5) Awareness is half way toward solution... How does your emotional state impact your life? Consider for example, the benefits or costs of your emotional state to your self, health, relationships and work: *

6) Work or productivity wise, do you suffer from any of the following on a frequent basis? *

Overwhelm

Procrastination

Self-Sabotage (getting in your own way of change, progress or success)

Burn Out

Boom & Bust Cycles (flying high then crash and burn cycles that halt your progress)

If none of these, please move to Question 8

Required

7) In what way do the above get in the way of you living life as you want to?

8) Would you be interested in knowing how to better manage your emotions and be more effective in your own life? *

Yes

9) What would it mean to you to be free of your emotional suffering, and learn a more effective way forward? *

10) Would you be interested in a new approach to managing your emotions, taking control of your self, your life and the outcomes you experience? *

Yes

11) What nationality are you?

Thank you for completing this survey, your time and willingness to contribute is appreciated. If you answered Yes to Question 10, please provide your name and email below. You will be added to the Lifting Life Higher weekly highlights and monthly newsletter - opt out at any time. I will also let you know of survey results once gathered, and provide an invite to the free facebook group. Your email is safe, and will not be shared or used in any other way.

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