The Pursuit of Purpose Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is a survey to identify the main reasons that we don't pursue our dreams.

Email *

Age Range *

18 - 25

26-35

36-45

46-55

56-65

65 - Amazing!

Question 1: When you think about pursuing your dreams, which of these statements best describes the fears you may feel? (You can check multiple options) *

I don't want to fail, so I shy away from pursuing my dreams.

I am afraid of condemnation or judgement. I don't want people to think that I'm foolish.

If I say the dream out loud, then I feel responsible for it. That makes me uncomfortable.

I don't think I'm qualified to do it.

I don't remember my dreams or I've lost touch with them.

I don't know where to start!

Required

Question 2: If you feel disqualified to pursue your dreams, what areas cause the most insecurity? (You can check multiple answers).

Skills - I don't have the skills needed to succeed.

Past Mistakes - My past mistakes disqualify me to pursue my dreams.

Experience - I don't have any experience doing it.

Relationships - I don't have anyone to help me.

Question 3: Why do you want to pursue your dream? (You can check multiple answers) *

I want my life to have meaning.

I want to be a good steward of my gifts and talents.

I want to leave a legacy for future generations.

I want to find more joy in my life.

I want to find a deeper connection with people in my life.

Required

Question 4: What keeps you from asking for help from others? (You can check multiple answers or add something new) *

I don't believe others want to help me.

I don't want to be a burden on anyone.

I am afraid to be vulnerable with others.

I don't like change or the feeling of loosing control.

It's hard for me to advocate for myself.

Other:

Required

Question 5. The survey didn't accurately describe my situation. (Please provide additional feedback on how the tool could better describe your situation).

First Name (Please share your first name if you'd like)

Email Address *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms