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2017
March
K
KCC - Work/Business - Life Balance Survey
KCC - Work/Business - Life Balance Survey
0%
Exit Survey
What feelings or thoughts come up for you when thinking about
giving to, serving or helping others
(family, friends, clients, strangers…)?
(Check all that apply even if they are opposite.)
Love
Joy/Excitement/Happiness
Connection/Bonding
Gratitude
Kindness
Natural and Easy
Apprehension
Obligation/Responsibility
Exhausting/Depleting
Irritation/Frustration
Anxiety/Stress
Anger
Other
What feelings or thoughts come up for you when you think of
receiving or asking for help
(ex. receiving money, help, support, etc.)?
(Check all that apply even if they are opposite.)
Love
Joy/Excitement/Fun
Connection/Bonding
Gratitude
Natural and Easy
Apprehension/Hesitation
Rather do it or get it myself
Don't trust it will be done right if I don't do it
Guilt
Unworthy
Fear/Anxiety/Stress
Anger
Other
How much would you agree/disagree with the following:
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
N/A
Maintaining balance between business/work and family is a challenge for me
Having or finding balance is important to me
I have a strong support system
I allow my support system to help me regularly
I tend to do everything myself
I feel stress/overwhelm related to work/business
I feel stress/overwhelm related to family responsibilities
I feel guilty when I do business away from my children
I feel guilty when I do business away from my spouse/partner
When I am with my kids and/or partner, at least a part of me is thinking about business/work
When I am doing business/work, at least a part of me is thinking about my kids and/or partner
I feel stress/overwhelm trying to balance business/career and family
In what areas of life do you feel you have
sacrificed
for
family
responsibilities?
(Check all that apply)
Financial/Monetary
Business Growth/Career Advancement
Health/Fitness/Physical Well Being
Spirituality/Moments of Contemplation
Emotional Well Being/Stress Levels
Hobbies/Passions/Quality time with Self
Other
In what areas of life do you feel you have sacrificed for
business/career/work
?
(Check all that apply)
Quality Time With Spouse/Partner
Quality Time with Children
Connection with Extended Family
Spirituality/Moments of Contemplation
Health/Fitness/Physical Well Being
Emotional Well Being/Stress Levels
Hobbies/Passions/Quality Time with Self
Other
What do you need in order to feel that your life is in balance and successful?
How do you know when your professional and personal life are out of balance/harmony?
What aspect of business and/or family is most stressful/frustrating/overwhelming? Tell me an issue that you would LOVE to have professional support in solving?
On a scale of 1-10, how much are the following people directly involved with your business/career endeavors, dreams and goals.
1. Totally Separate - Never discuss
2.
3.
4.
5. We talk on occasion about it
6.
7.
8.
9.
10. Very Involved - We dream and make plans together
N/A
Your Spouse/Partner
Your children
Extended family
Friends
How likely are you to sign up for an offer that teaches you the secrets of
growing a profitable business/career in harmony with a happy home life?
(Particularly with spouse/partner and/or children)
(How likely are you to choose each for of the offer?)
Very Likely
Likely
Neutral
Unlikely
Very Unlikely
Book (free)
Book (paid)
E-book (free)
E-book (paid)
Webinar/Teleclass (free)
Webinar/Teleclass (paid)
In-person Workshop/Class (free)
In-person Workshop/Class (paid)
Kali Clarity Coaching
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