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Self-Assessment for Contentment & Well-being
Rate yourself on a Scale from 1 – 10
(1 = very bad/ no and 10 is terrific/ yes, absolutely)
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* Indicates required question
Email
*
Your email
Name
*
Your answer
How resilient am I?
*
Ablility to withstand or recover quickly from difficult conditions.
Very Bad
1
2
3
4
5
6
7
8
9
10
Terrific
How open am I?
*
Not at all
1
2
3
4
5
6
7
8
9
10
Very Open
How healthy is my lifestyle?
*
Not at All
1
2
3
4
5
6
7
8
9
10
Very Much
How happy am I?
*
Very
1
2
3
4
5
6
7
8
9
10
Not at all
How great is my social life?
*
No friends at all
1
2
3
4
5
6
7
8
9
10
Great social life
Am I at mental peace?
*
No
1
2
3
4
5
6
7
8
9
10
Yes
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