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Perfectionism Intake Form
Perfectionism is a seemingly harmless mindset and behavior that impacts our personal and professional lives. How we perceive the world impacts our legacy, time, goals, and our habits.
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Email
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Your email
Name
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Your answer
What is your email address?
Your answer
I only receive satisfaction when my work is done perfectly.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
Perfectionism helps me to avoid rejection
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
I prefer to do projects alone because I know it will be done right
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
What areas of productivity are you struggling with?
Your answer
How does perfectionism show up in your personal life?
Your answer
Would you like to be contacted by a member of our team?
Your answer
Comments - Is there anything else you'd like to share?
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