Transformation Assessment
This assessment is quite long, so you may need to put some set time aside to think about the questions. Please complete in one sitting because the form does not save along the way.
First Name
Last Name
Email
Occupation
What is happening in your life that prompted you to take this course?
What are you currently doing in your life? What does the average day look like?
If you are a new student: Are you married or in a relationship? If so, please describe the relationship.
If you are a new student: Do you have children? If so, list them and their ages.
If you are a new student: Do you have siblings? If so, please describe your relationship with them.
If you are a new student: Describe your parents’ relationship. (Both past and present).
If you are a new student: What was your childhood like growing up?
If you are a new student: What traumas have you experienced in life?
What are you struggling with most in life right now?
What negative thoughts do you have about yourself?
What is the outcome of having these negative thoughts?
If you’ve taken a Simply Kerry course previously, what wounds do you need to heal that are still affecting you?
How healthy would you say you eat?
How is your sleep schedule?
How often do you exercise and move your body?
How would you describe your overall health?
Do you have a spiritual connection? If so, please describe it.
How financially healthy do you feel right now?
Do you know and feel aligned with your purpose in life?
What do you do for fun in your life?
Are you aware of your passions? If so, what are they?
If time, money, and fear weren’t in your way, what would be happening right now in your life?
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