The Self Knowing & Inner Peace Program Initial Assessment Survey Name * First Name Last Name Email * What are some words you'd like to live by through this next season of your life? * Please describe what you'd like to achieve from the SKIP Program, outlining specific goals with as much quantifiable and assessable criteria as possible. * Please describe the things that you consider are holding you back * Please describe any inherently felt limitations, traumatic imprints or negative habitual thought patterns that you associate with. * Is your relative level of inner peace satisfactory? * Strongly Disagree Disagree Neutral Agree Strongly Agree Is your relative level of inner joy satisfactory? Strongly Disagree Disagree Neutral Agree Strongly Agree How do you view your level of satisfaction with regards to knowing yourself? Strongly Disagree Disagree Neutral Agree Strongly Agree How do you view you commitment to personal growth? Strongly Disagree Disagree Neutral Agree Strongly Agree How do your view your rate of personal growth? Strongly Disagree Disagree Neutral Agree Strongly Agree How do you view the work you've done on yourself with respect to inherent trauma imprints or adverse conditioning from your past? Strongly Disagree Disagree Neutral Agree Strongly Agree How do you view your ability to create a stable conscious state of energetic presence in your body? Strongly Disagree Disagree Neutral Agree Strongly Agree How do you view your ability to expand your views and perceptions to influence your sense of personal contentment? Strongly Disagree Disagree Neutral Agree Strongly Agree Thanks so much for your honesty and vulnerability. Please feel free to express anything else that feels important to mark this stage of your personal growth journey Thank you!
