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.
Sign in to Google to save your progress. Learn more
My name is...
Things I'm hoping to gain with the "Create your own Sunshine" workbook are...
"I think that overall, people find me interesting and fun to talk to."
Clear selection
"I know that I can achieve anything I set my mind to do."
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."
Clear selection
"I'm worthy of love."
Clear selection
"I have tons of people that love, care about, and support me."
Clear selection
"My friends and loved ones know they can depend and count on me to be there for them."
Clear selection
"I am meant to live a happy, meaningful and fulfilling life."
Clear selection
"When I see other people succeeding around me, I feel genuinely happy and excited for them."
Clear selection
"How I feel about myself is more important than other's opinion of me."
Clear selection
"I feel comfortable and safe being myself around others."
Clear selection
"Just because someone disagrees with me does not mean they don't like or respect me."
Clear selection
"I often feel comfortable speaking up and voicing my opinion."
Clear selection
"I know that I don't need to change my personality, appearance, or opinions in order to be liked by others."
Clear selection
On a scale of 1-5, how would you rate your self esteem? (5 being excellent, 1 being very poor)
Clear selection
Do you feel that you have what it takes to succeed in all areas of life? (personally, financially, mentally, spiritually, etc.)
How do you feel about your relationships with those in your life? (family, friends, significant other, co-workers)
In what areas of your life do you want to improve?
Would you like to receive free tips, tools and exclusive offers from Nanala Cove via email? (No spam ever, unsubscribe at any time!) *
If you answered yes to the question above, what is the email you would to subscribe with? (simply write "no thanks" if not interested.) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Nanala Cove, LLC. Report Abuse