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What do you consider your biggest obstacle?
What is your most important goal in this program?
Please rate the following dimensions of your life from 1 to 5
Faith – meaning a spiritual life or practice
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5
Family – the quality of relationships in your immediate family
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5
Force – how you feel about your work
1
2
3
4
5
Friends – the quality of relationships with friends
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2
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5
Finances – your overall financial health
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5
Fitness – your overall physical health
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Fun – the level of joy and play in your life
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5
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