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Purpose Driven Man Workshop Prequalification Questionnaire

Thank you for your interest in the Purpose Driven Man Workshop. This questionnaire is designed to help us understand the key challenges you are facing and how we can best address them during the workshop. Your responses will remain confidential.

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PERSONAL INFORMATION

Let's know each other.

Question 2 of 41

Full Names:

Question 3 of 41

Age:

A

20-30 yrs young.

B

30-40 yrs young

C

40-50 yrs young

D

50 & Over

Current Life Situation:

Let's start here.

Question 5 of 41

What is your current employment status?

A

Employed

B

Unemployed

C

Retired

Question 6 of 41

Describe your current family situation.

A

Married

B

Single

C

Divorced

D

Widowed With children

E

Widowed Without children

Question 7 of 41

On a scale of 1-10, how satisfied are you with your overall life currently?

A

1-4

B

4-6

C

6-10

Meaning and Purpose:

Challenges and Issues:

Question 9 of 41

Do you often feel like your life lacks direction or purpose?

A

YES

B

NO

Fatigue and Energy Levels:

Energy Is Life

Question 11 of 41

How often do you feel physically and mentally exhausted?

A

Rarely

B

Sometimes

C

Often

D

Always

Question 12 of 41

What do you think are the main causes of your fatigue?

A

Poor sleeping pattern

B

Poor nutrition

C

Stress

D

Poor sleeping environment

Financial Pressure:

Question 14 of 41

Do you feel stressed about your financial situation?

A

YES

B

NO

Question 15 of 41

Please describe your main financial concerns:

A

I don't earn enough

B

I have no budget

C

I live above my means

Relationships:

Question 17 of 41

How would you rate your relationship with your partner?

A

Excellent

B

Good

C

Fair

D

Poor

Question 18 of 41

Do you struggle to connect with your children or other family members?

A

Yes

B

No

Question 19 of 41

Please describe any specific relationship challenges you are facing:

Mental and Emotional Well-being

Question 21 of 41

Do you experience feelings of anxiety, depression, or hopelessness?

A

Rarely

B

Sometimes

C

Often

D

Always

Question 22 of 41

How do you typically cope with these feelings?

Personal Development:

Question 24 of 41

Spiritual Life:

How important is spirituality in your life?

A

Not at all

B

Somewhat important

C

Very important

Question 25 of 41

Do you have a regular spiritual or religious practice?

A

Yes

B

No

Question 26 of 41

If yes, please describe:

Physical Health:

Question 28 of 41

How would you rate your physical health?

A

Excellent

B

Good

C

Fair

D

Poor

Question 29 of 41

Do you have a regular exercise routine?

A

Yes

B

No

Question 30 of 41

If yes, please describe your routine:

Community and Support:

Question 32 of 41

Do you feel like you have a strong support network of friends and family?

A

Yes

B

No

Question 33 of 41

Do you participate in any community groups or activities?

A

Yes

B

No

Goals and Aspirations:

Question 35 of 41

What are your top three goals for the next 12 months?

Question 36 of 41

What do you hope to achieve by attending the Purpose Driven Man Workshop?

Additional Information:

Question 38 of 41

How did you hear about the Purpose Driven Man Workshop?

A

Email communication

B

Social Media

C

Word of mouth

Question 39 of 41

Do you have any specific topics or issues you would like us to address during the workshop?

Question 40 of 41

Is there anything else you would like us to know about your current situation or needs?

Final Thoughts

Thank you for taking the time to complete this questionnaire. Your responses will help us tailor the workshop to better meet your needs and support you on your journey to becoming a Purpose Driven Man.

Confirm and Submit