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Surveys
2017
March
M
Mamapreneur Life Harmony
Mamapreneur Life Harmony
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
How much would you agree/disagree with the following:
Strongly Disagree
Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Agree
Strongly Agree
Work-Life Balance is a problem for me
Having Work-Life Balance is important to me
I have a strong support system
I allow my support system to help me regularly
I have stress related to work/business
I have stress related to family responsibilities
I feel stress trying to balance business/career with 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
Describe how a balanced life (successful business and family) would look for you.
How do you know when your professional and personal life are out of balance/harmony?
What is your most important, most pressing question or concern around business-family balance?
On a scale of 1-10, how much are the following people directly involved with or separate from your business or career endeavors, dreams and goals.
1. Completely Separate - Never discuss
2.
3.
4.
5. We talk on occasion about it
6.
7.
8.
9.
10. Very Involved - Partnership
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?
(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)
Overall
Kali Clarity Coaching
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