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  • 1 Memetics pending done_all
  • 2 Physical pending done_all
  • 3 Financial pending done_all
  • 4 Network pending done_all
  • 5 Relationships pending done_all
  • 6 Body pending done_all
  • 7 Self pending done_all
  • 8 Spiritual pending done_all
  • 9 Nature pending done_all

Memetics
1 / 11

Beliefs, Ideas, Knowledge, Cultural Norms, Frameworks

Question # 1

I am aware of my mental and emotional triggers from the past and I rarely over-react to them when people trigger them.

Yes
No
Question # 2

I choose to pay attention to thoughts & beliefs that serve me and let go of the rest.

Yes
No
Question # 3

My present day belief system is designed to support my evolution.

Yes
No
Question # 4

I live easily with paradox, i.e. a statement that is seemingly contradictory or opposed to common sense and yet, is perhaps true.

Yes
No
Question # 5

I attend webinars, workshops, seminars, etc. to expand my mind and change my beliefs where necessary so I easily achieve my goals.

Yes
No
Question # 6

I can engage in conversation and listen to other people's opinions and beliefs without it affecting me or overreacting to their views.

Yes
No
Question # 7

I am comfortable with stretching beyond my own self imposed constraints and against popular opinion in order to learn and grow.

Yes
No
Question # 8

I know how to differentiate from programmed thoughts in my subconscious vs. my present day beliefs.

Yes
No
Question # 9

I live a simple life vs. complex life so I have energy to pursue my big passions.

Yes
No
Question # 10

I stand guard at the door of my mind and only allow information in that serves me.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate this environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Physical
1 / 13

Home, Office, Furnishings, Equipment / Technology

Question # 1

My home is an honest expression of my true self or my vision of who I am or who I want to become. (ex: colors, sounds, furniture, artwork, etc.)

Yes
No
Question # 2

I use the latest technology available and my equipment is in top shape and performs well. (ex: phones, computers, copiers, etc.)

Yes
No
Question # 3

If someone walked into my physical spaces (ex: car, office, home, bathroom) they would know my passions, dreams, goals and things I love/enjoy without asking. (ex: vision boards, pictures, symbols, quotes, etc.).

Yes
No
Question # 4

I know where everything is in my home and office and I can put my hands on what I need in less than 5 minutes.

Yes
No
Question # 5

My physical environments are ecologically responsible. (ex: green vs. toxic chemicals, carpets, paints, etc.)

Yes
No
Question # 6

My physical environments are clean, clutter free and simple.

Yes
No
Question # 7

My home, office, and possessions inspire and add energy to me vs. expire and drain my energy.

Yes
No
Question # 8

My workspace is ergonomically designed and supports good posture and body alignment.

Yes
No
Question # 9

My clothes represent who I am and who I'm becoming, not who I was.

Yes
No
Question # 10

I have access to physical environments outside my home and/or office that are designed to create the moods/emotions I enjoy. (ex: gym, library, jazz club, restaurants, etc.)

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate your home environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your office/work environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your vehicle environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Financial
1 / 13

Money, Investments, Budgeting, Insurance

Question # 1

I can pay all of my bills each month without going into debt / borrowing money / living off of others.

Yes
No
Question # 2

I do not pay high interest rates or penalty fees on any unsecured debt. (ex: credit cards, student loans, personal loans, etc.)

Yes
No
Question # 3

I have a credit score of over 700.

Yes
No
Question # 4

I have multiple sources of income. (ex: businesses, investments, etc.)

Yes
No
Question # 5

I have developed a passive income stream and a plan for financial freedom.

Yes
No
Question # 6

I have a wealth team of experts that I can ask for guidance and leverage the money I make through smart investments.

Yes
No
Question # 7

I can live a life of my choosing on 50-75% of my income.

Yes
No
Question # 8

I have immediate access to all financial reports I need. (ex: Net worth Report, investment statements, P&Ls, Cash Flow Report, Credit Report, etc.)

Yes
No
Question # 9

I have adequate protection. (ex: medical, auto and disability insurance)

Yes
No
Question # 10

I have at least 6 months of living expenses that is easily accessible.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate your cashflow creation? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your cashflow management? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your cashflow investment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Network
1 / 11

Community, Strategic Partners, Customers

Question # 1

My network is diverse. For example: includes both men and women of various ages, cultures, industries and walks of life.

Yes
No
Question # 2

I participate in a high level group that I attend on a regular basis. (ex: weekly/monthly/yearly)

Yes
No
Question # 3

I have a great mastermind team and I leverage this team so I can learn and grow.

Yes
No
Question # 4

I am only 3 people, or less, away from people I most want to know in my life.

Yes
No
Question # 5

My career, or passionate work life, provides me with wonderful opportunities to network with great people from around the world.

Yes
No
Question # 6

I have access to the people, resources and information I need to help me quickly find whatever I need or want.

Yes
No
Question # 7

I leverage social networks online and in person. (ex: Twitter, Facebook, LinkedIn, local networking groups, etc.)

Yes
No
Question # 8

I can network confidently in most environments because I am well read, worldly and versed on a variety of topics, locally, nationally and internationally. I can carry on a great conversation with anyone on just about any topic.

Yes
No
Question # 9

I regularly outsource the tasks that I am not good at or do not enjoy.

Yes
No
Question # 10

I have a balanced network of go-givers and appreciative takers.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate this environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Relationships
1 / 11

Family, Friends, Close colleagues, Support personnel

Question # 1

I can relate and build relationships with both younger and older generations.

Yes
No
Question # 2

I have meaningful, intimate and/or passionate relationships.

Yes
No
Question # 3

I have relationships in my life that are inspiring, not expiring.

Yes
No
Question # 4

I have close relationships with people who play at the level of life I aspire to attain.

Yes
No
Question # 5

I am comfortable being my true authentic self around the people in my life.

Yes
No
Question # 6

When I am upset with others, I take responsibility for my role in the problem.

Yes
No
Question # 7

I have a coach/mentor that I work with regularly to help me expand and evolve.

Yes
No
Question # 8

I allow myself to love and be loved.

Yes
No
Question # 9

I can honestly express my feelings and I am transparent with my closest relationships.

Yes
No
Question # 10

I have an MSP (Most Supportive Person) that cheers me on and is in my corner.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate this environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Body
1 / 13

Physical body, Health, Energy

Question # 1

I exercise 3-5 times a week.

Yes
No
Question # 2

I only eat foods that are healthy and help my body & immune system.

Yes
No
Question # 3

I drink half of my body weight in ounces of healthy water each day. (ex: weight 180 lbs.= 90 oz. of water)

Yes
No
Question # 4

I am at my optimal/healthy weight.

Yes
No
Question # 5

I move my body every hour.

Yes
No
Question # 6

I do adequate stretching & have great posture.

Yes
No
Question # 7

I detox frequently and safely. (ex: herbal teas, cleanses, colonics, deep breathing, etc.)

Yes
No
Question # 8

I get the right amount of sleep needed to wake up feeling refreshed and energized. (7-8 hours suggested)

Yes
No
Question # 9

I'm up to date on all my check-ups. (ex: dental, medical, eye)

Yes
No
Question # 10

I have a health team that I work with to educate & support me.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate your nutrition? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your movement and exercise? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Rate your Environment

After answering the previous 10 questions, how would you rate your rest and recovery? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Self
1 / 11

Personality, Gifts, Talents, Strengths, Emotions

Question # 1

I know my self-worth, comprised of my assets; strengths, talents and skills, and I leverage them for my success.

Yes
No
Question # 2

I know what my top 5 Core Values are and I have designed my life to express them.

Yes
No
Question # 3

I know my passions and my life purpose and am living them now (regardless of whether I get paid or not).

Yes
No
Question # 4

I have clear boundaries that my relationships know, respect and that I enforce.

Yes
No
Question # 5

I do not beat myself up over mistakes I make.

Yes
No
Question # 6

I express my emotions openly in the moment to stay present. (ex: angry, sad, happy, fear, loss)

Yes
No
Question # 7

I have the ability to differentiate my authentic and true self from my ego in each moment.

Yes
No
Question # 8

I take full responsibility for my choices and their results in life. When I make a mistake, I don't blame others, justify or rationalize my actions.

Yes
No
Question # 9

I am open to taking additional assessments to learn more about my self so I can design my life to utilize my strengths, gifts, and talents.

Yes
No
Question # 10

I get my needs met from healthy sources.

Yes
No

Rate your Environment

What are your strengths, gifts and talents? What makes you uniquely you? Please list them here:

Spiritual
1 / 11

Connection to a Higher Source, Love and Self

Question # 1

I have a relationship with a higher power.

Yes
No
Question # 2

I am committed to a daily spiritual practice (physical/mental) that centers me. (ex: meditation, yoga, surfing, sports, gratitude for others)

Yes
No
Question # 3

I know how to get aligned with the present moment.

Yes
No
Question # 4

I feel connected to all human beings, animals and nature.

Yes
No
Question # 5

I respect others' spiritual beliefs and I don't force my beliefs on others, even though I might disagree.

Yes
No
Question # 6

I have symbols in my environment that remind me of my spiritual beliefs.

Yes
No
Question # 7

I have a spiritual mentor/advisor.

Yes
No
Question # 8

I live with gratitude each day. (ex: an abundance of happiness, health, wealth, love, energy and spiritual fulfillment)

Yes
No
Question # 9

I practice servant leadership, donating my time and talents to others.

Yes
No
Question # 10

I belong to a spiritual community that resonates with me and allows me to grow and evolve.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate this environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me

Nature
1 / 11

Outdoors, Beauty, Seasons, Cycle of life

Question # 1

I have a place in nature that I go to be alone to experience my senses and to connect to nature.

Yes
No
Question # 2

I travel to explore different places to deepen my consciousness and connection to nature.

Yes
No
Question # 3

I am in tune with how the 4 seasons affect my energy and the energy of those close to me.

Yes
No
Question # 4

I consistently recycle.

Yes
No
Question # 5

I use nature as a source of inspiration to recalibrate my body, mind and spirit.

Yes
No
Question # 6

I live in the geographical location of my choice which allows me to live the life of my choosing. (ex: if I surf - I'm near the ocean, if I ski - I have easy access to the slopes, if I golf - I live in a year round warm climate)

Yes
No
Question # 7

The products I consume and dispose of are environmentally friendly.

Yes
No
Question # 8

I show respect for nature, animals, and plants no matter where I am.

Yes
No
Question # 9

I have adequate plants inside my home/office to add Oxygen and remove CO2 and toxins.

Yes
No
Question # 10

The city/neighborhood that I live in is safe and supportive.

Yes
No

Rate your Environment

After answering the previous 10 questions, how would you rate this environment? Select your answer below (only choose one):

It’s working, it inspires and supports me It’s neutral, it doesn’t affect me good or bad It’s broken or needs work, it drains and expires me