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General Health Survey

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What am I grateful for today?

What is my plan for today to meet my goals?

What obstacles will I likely face in meeting my goals today?

How will I overcome those obstacles?

What one new habit am I going to keep working on today?

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Who/what would you like to be? What is your ideal self? What would you like to see when you look in the mirror?

Over the next 3 months, what is the most important thing you would like to achieve? Be as specific as possible. We'll call this your Number One Goal.

What else would you like to accomplish over the next 3 months? Be as specific as possible.

What obstacles or barriers do you see preventing you from achieving your Number One Goal?

What new things will you likely have to do in order to achieve your Number One Goal?

What is your plan to achieve your Number One Goal over the next 3 months?

The obstacles you mentioned before might get in the way of you achieving your Number One Goal? How will you work around those obstacles? If the obstacle pops up, what will you do?

What does your new daily routine look like? What are things you'll keep doing that you do today? What are things you'll not do or avoid doing?