Survey Brochure

 

Life Transition Survey

Questions
True
False
You want to find work that you love
You’re mentally exhausted at home and work
You desire to live within your financial means
You are seeking to find more passion in your life
You have the desire to be the captain of your ship

You want to live a more meaningful and purposeful life

You want to live a more balanced life at home and work

You want to be more content and at peace with your life

You want to use your time more efficiently and effectively
You are strongly committed to your personal development
You want to conquer the clutter in your physical environment
You want to tap into your gifts, abilities, talents, and strengths
You have a desire to be more focused and clear in your life
You’re not taking time to have fun with leisure activities during the week
You want to improve your health: physical, mental, and social well being
You are going through a life transition and are unclear which way to turn
You’re open to doing things in a new and different way to be more successful
You are ready to make life style changes in your personal and professional life
You want to be more accountable for the results you produce at home and work
You seek someone to assist you clarifying your personal and professional goals
Name  
E-mail:  
Phone  

 


Dan Kramer  Life Coach  1724 Parkside Drive NE   Solon, IA 52333   
Phone (319) 624-2067    Cell (319) 471-7845



Designs of the 5 Domains