Purpose Assessment for Connect Call

DEMOGRAPHIC INFORMATION

First name

Last name

Address

Phone

Age

How would you describe the current stage of your life in relation to your sense of purpose?

What areas in your life do you feel like you’re not fulfilling your purpose?

Share 3 long term goals pertaining to your purpose.

Which option is the biggest barrier that is hindering your purpose?

Lack of clarity & Direction (I don't know)

Limiting beliefs & Self Doubt (I don't believe)

Fear of Failure or Judgment ( I don't want to fail)

Lack of execution and Consistency ( I don't do the work)

Other

How committed are you to taking intentional steps to align your life with your purpose?

Completely committed – I’m ready to invest my time, energy, and resources to make it happen.

Somewhat committed – I’m willing to take steps but may need help staying consistent.

Not sure yet – I’m interested but hesitant about what the process might require.

Not committed – I don’t feel ready to take action at this time.