Please read each statement carefully and rate yourself on a scale of 1 to 10 based on how true it feels for you right now.

1 = Not at all true
10 = Completely true

There are no right or wrong answers. Be as honest as possible—this assessment is for your personal growth and will help you see the transformation you make over time.

First Name *

Last Name *

Email *

Phone *

Today's Date *

Date of birth *

Leave a Comment

LIFE CODE

Career *

1

2

3

4

5

6

7

8

9

10

Money *

1

2

3

4

5

6

7

8

9

10

Community *

1

2

3

4

5

6

7

8

9

10

Home *

1

2

3

4

5

6

7

8

9

10

Travel *

1

2

3

4

5

6

7

8

9

10

Mindset *

1

2

3

4

5

6

7

8

9

10

Living Green *

1

2

3

4

5

6

7

8

9

10

Resourceful *

1

2

3

4

5

6

7

8

9

10

Passions *

1

2

3

4

5

6

7

8

9

10

Know & Living Purpose *

1

2

3

4

5

6

7

8

9

10

HEALTH CODE

Healing *

1

2

3

4

5

6

7

8

9

10

Daily Movement *

1

2

3

4

5

6

7

8

9

10

Healthy Eating *

1

2

3

4

5

6

7

8

9

10

Cooking *

1

2

3

4

5

6

7

8

9

10

Lots of Energy *

1

2

3

4

5

6

7

8

9

10

Sleep *

1

2

3

4

5

6

7

8

9

10

Mindful *

1

2

3

4

5

6

7

8

9

10

Anxious, Moody, Listless *

1

2

3

4

5

6

7

8

9

10

Sensuality *

1

2

3

4

5

6

7

8

9

10

Pain *

1

2

3

4

5

6

7

8

9

10

CREATIVE CODE

Fashion *

1

2

3

4

5

6

7

8

9

10

Artistic *

1

2

3

4

5

6

7

8

9

10

Interests *

1

2

3

4

5

6

7

8

9

10

Music - Concerts, Play Instrument *

1

2

3

4

5

6

7

8

9

10

Hobbies *

1

2

3

4

5

6

7

8

9

10

Adventures *

1

2

3

4

5

6

7

8

9

10

Travels *

1

2

3

4

5

6

7

8

9

10

Fun *

1

2

3

4

5

6

7

8

9

10

Read *

1

2

3

4

5

6

7

8

9

10

Cook *

1

2

3

4

5

6

7

8

9

10

RELATIONSHIP CODE

Self *

1

2

3

4

5

6

7

8

9

10

Romance *

1

2

3

4

5

6

7

8

9

10

Friendship *

1

2

3

4

5

6

7

8

9

10

Family *

1

2

3

4

5

6

7

8

9

10

Collaboration *

1

2

3

4

5

6

7

8

9

10

Community. *

1

2

3

4

5

6

7

8

9

10

Peers *

1

2

3

4

5

6

7

8

9

10

Clients *

1

2

3

4

5

6

7

8

9

10

Teachers *

1

2

3

4

5

6

7

8

9

10

Mentors *

1

2

3

4

5

6

7

8

9

10

SOUL CODE

I am congruent to my word in all areas *

1

2

3

4

5

6

7

8

9

10

I create and use Affirmations *

1

2

3

4

5

6

7

8

9

10

My Soul soars *

1

2

3

4

5

6

7

8

9

10

Gratitude Awareness & Usage *

1

2

3

4

5

6

7

8

9

10

I have and use my BELIEF SYSTEM to make decisions and choices *

1

2

3

4

5

6

7

8

9

10

Living in and with purpose *

1

2

3

4

5

6

7

8

9

10

Inner Self/Self Love *

1

2

3

4

5

6

7

8

9

10

Truth (To know & live in) *

1

2

3

4

5

6

7

8

9

10

I trust and follow my intuition *

1

2

3

4

5

6

7

8

9

10

I am anchored in Faith *

1

2

3

4

5

6

7

8

9

10

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