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Self Love Assessment
This assessment will help to determine how you feel about yourself overall. Your answers are confidential and will be emailed directly to you. Answer truthfully and honestly, as this is an important step of the growth process!
Remember... there is no wrong answer.
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* Indicates required question
My name is...
Your answer
Things I'm hoping to gain with the "Create your own Sunshine" workbook are...
Your answer
"I think that overall, people find me interesting and fun to talk to."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"I know that I can achieve anything I set my mind to do."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"I'm able to view criticism from others as constructive feedback. I take what I need from it and leave what doesn't serve me."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"I'm worthy of love."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"I have tons of people that love, care about, and support me."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"My friends and loved ones know they can depend and count on me to be there for them."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"I am meant to live a happy, meaningful and fulfilling life."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"When I see other people succeeding around me, I feel genuinely happy and excited for them."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"How I feel about myself is more important than other's opinion of me."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
"I feel comfortable and safe being myself around others."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"Just because someone disagrees with me does not mean they don't like or respect me."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"I often feel comfortable speaking up and voicing my opinion."
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Clear selection
"I know that I don't need to change my personality, appearance, or opinions in order to be liked by others."
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Clear selection
On a scale of 1-5, how would you rate your self esteem? (5 being excellent, 1 being very poor)
1
2
3
4
5
Clear selection
Do you feel that you have what it takes to succeed in all areas of life? (personally, financially, mentally, spiritually, etc.)
Your answer
How do you feel about your relationships with those in your life? (family, friends, significant other, co-workers)
Your answer
In what areas of your life do you want to improve?
Your answer
Would you like to receive free tips, tools and exclusive offers from Nanala Cove via email? (No spam ever, unsubscribe at any time!)
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Yes, sign me up!
No thanks.
If you answered yes to the question above, what is the email you would to subscribe with? (simply write "no thanks" if not interested.)
*
Your answer
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