Please provide us with as much information as possible when answering the following questions.  We recommend you are relaxed and in a calm, quiet environment while taking this part of the image assessment.  We assure you, all information is absolutely confidential and is used solely so that we may provide you with the absolute best service!

* Required fields
Name *
E-mail Address *
Date of Birth (month, day) *
Describe who you are today *
Where do you want to go in life? *
What do you want to do? *
How do you earn a living?
How do you spend your free time? *
What accomplishment(s) in your life make you the proudest? *
What do you identify as your talents? In what way were they meant to be used? *
How would you describe your life’s mission? *
Detail how you arrived at who you are today. Describe your story – the history, background, and experiences that comprise you. *
Describe your childhood. *
Describe your adolescence. *
Describe your transition to adulthood. *
What personal goals do you hold for yourself, on a physical, mental, and spiritual plane? *
Detail your career goals. *
Detail your family goals. *
Close your eyes. Take a few deep breaths. Think of a color. What color do you see? *
How easily do you let go of things – be they physical objects or emotions? *
How quickly do you make decisions? How often do you regret the decisions you make? *
How do you define happiness? *

I have read and agree to the Privacy Policy *

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