Congratulations! By deciding to complete the FREE SELF, INC. Life Assessment, you have taken a very important step towards taking ownership over yourself and committing to manifesting a new life after a crisis.  Each question is designed to make you think about how you are managing your life, and what possible obstacles are in your way in achieving success.  Your answers will be analyzed by our Support Team and a "snapshot" of your results will be e-mailed to you within 72 hours.  Immediately, you will be able to get an "understanding" of what areas you need to work on in order for your life to improve dramatically!

At the end of the Assessment, please go back and make sure you selected an answer for each question.  Best wishes always in your pursuit for health, peace, joy and happiness, and manifesting it in your life and the world around you!
The SELF, INC. LIFE ASSESSMENT
1. Do you exercise aerobically (i.e. anything that raises your resting heart rate)?
2. Do you do strength exercises (i.e. anything that increases muscle strength)?
3. What would you consider your overall physical health to be?
4. Do you consider yourself to be:
5. Do you consider yourself to be:
6. Do you stretch?
7. Do you feel like you sleep enough at night?
8. Do you spend time outside in the sun and the fresh air?
9. How would you rate your overall eating habits?
10. Do you consider the environment that you usually eat in:
11. How do you eat?
12. When you are eating, are you usually:
13. When you are eating, do you stop eating:
14. Do you notice your food when you are eating?
15. Do you fast in order to detoxify?
16. How would you describe the food/beverage that you eat/drink?
17. Do you drink alcohol?
18. Do you smoke (i.e. cigars, tobacco cigarettes, clove cigarettes)?
19. Do you chew tobacco?
20. Do you abuse legal/illegal and/or prescription drugs?
21. Do you enjoy eating?
22. Do you drink water?
23. Do you use artificial sweeteners?
24. Do you eat fast food?
25. Do you eat junk food (i.e. chips, cookies, candy, soda)?
26. Do you drink beverages with caffeine?
27. How much red meat (i.e. beef, pork, lamb) do you eat?
28. How much seafood do you eat (i.e. salmon, tuna, shrimp. lobster, crab)?
29. How much chicken do you eat?
32. Do you eat nuts and grains?
33. Do you drink fruit and/or vegetable juices?
34. Do you take vitamins?
35. Do you eat/use processed foods (i.e. white floor/bread/baked goods, white sugar)?
36. Do you allocate enough time to the BODY DEPARTMENT?
31. Do you eat vegetables?
30. Do you eat fruits?
1. What kind of inner-dialogue occurs in your mind?
2. Do you do any form of meditation or relaxation techniques (i.e. yoga, mantras)?
3. Are you in tuned with your emotions and state of mind throughout the day?
4. Would you categorize yourself as one who is in good spirits?
5. Do you feed your mind with positive affirmations (i.e. I am loved)?
6. Do you recognize negative emotions and states of mind?
7. How do you respond to negative emotions and states of mind?
8. Do you use positive dialogue to combat negative thoughts (i.e. I am not worthy is combated with I am worthy)?
9. Do you use positive imagery (i.e visualize yourself as a successful business owner or in a happy relationship)?
10. Are the shows that you watch on TV the kind of shows that make you feel good?
11. Is the music you listen to the kind of music that makes you feel good?
12. Are the things that you read the kind of things that make you feel good?
13. Describe the overall organization of your home:
14. How would you describe the environment of your home?
15. Describe the overall simplicity of your home:
16. Do you utilize organizational tools (i.e.to do lists, calendar, time management system, computer, filing cabinet)?
17. Describe the overall organization of your work space at the office or at home (if you work at home):
18. Describe the overall simplicity of your work space at the office or at home (if you work at home):
19. How would you describe the environment of your work space at the office or at home (if you work at home)?
20. Do you consider the people that you surround yourself with to be:
21. Do you consider the situations and circumstances that you surround yourself with to be:
22. Do you bring work home from the office or do you work too many hours in your home office (if you work at home)?
23. Are you a goal-setter (i.e. list of things you would like to achieve and accomplish. short-term as well as long-term)?
24. Do you take time out for yourself (i.e. read a book. take a walk, journal)?
25. How do you describe the environment of your social space (i.e. friends, family, entertainment)?
26. Do you follow a daily schedule?
27. Do you consider your overall way of life to be:
28. Do you make an effort to spend 'quality' time (including writing letters, talking on the phone) time with your spouse or partner?
29. Do you make an effort to spend 'quality' time (including writing letters, talking on the phone) time with your children?
32. Do you have good handle on your finances (i.e. keep a budget, save, invest, donate)?
33. Do you try to control things that are out of your control (i.e. people and their behavior, feelings, beliefs, opinions)?
34. Do you consider yourself a perfectionist?
35. Are you hard on yourself or do you beat up on yourself?
36. Do you allocate time to the MIND DEPARTMENT?
31.  Do you make an effort to spend 'quality' time (including writing letters, talking on the phone) time with your friends?
30. Do you make an effort to spend 'quality' time (including writing letters, talking on the phone) time with your relatives?
THE MIND DEPARTMENT
1. Describe your relationship with God?
2. Do you put God first in your life?
3. Do you pray to God?
4. Do you talk to God?
5. Do you tell God what is troubling you?
6. Do you ask God to help you?
7. Do you praise God?
8. Do you thank God for the blessings in your life?
9. . Do you thank God for the struggles in your life?
10. Do you pray for others?
11. Do you share in other people's joys and blessings?
12. Do you pray for yourself?
13. Do you commune with God throughout the day?
14. Do you pray to God for forgiveness of any mistakes that you make or have made?
15. Do you except forgiveness from God for the mistakes that you make or have made?
16. Do you forgive yourself for the mistakes that you make or have made?
17. Do forgive others for the mistakes they make or have made against you?
18. Do you share your spiritual life with others?
19. Do you express your love for God to others?
20. Do you go to a special place to spend time with God (i.e. church)?
21. Do you look to God for guidance?
22. Do you fast from certain pleasures in life so that you can experience more spiritual enlightenment?
23. Does your life express evidence of spiritual enlightenment such as love, joy, peace, patience, kindness, goodness?
24. Do you recognize easily the presence of negative energy in your life?
25. Do read literature that contains language and/or images that would be considered immoral?
26. Do you watch shows (ie.e. movies, live shows, TV shows) that would be considered immoral?
27. Do you listen to music that would be considered immoral?
28. Do associate with people exhibiting immoral behavior?
29. Do read literature that gives you spiritual enlightenment?
32. Do you use the gifts and talents that you have been born with to help yourself and others?
33. Are you aware of the presence of negative energy in the world?
34. Do you combat negative energy with positive action and/or words?
35. When you are around a person or situation that is negative, do you let it affect you or do you counteract what is happening by applying your own positive energy (i.e. someone is really down on their luck and you remind them of how special they are)?
36. Do you allocate enough time to the SPIRIT DEPARTMENT?
31. Do you strive to exhibit love for yourself and others?
30. Do you apply spiritual principles to your life (i.e. love others as you love yourself)?
THE SPIRIT DEPARTMENT
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THE BODY DEPARTMENT
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OUR MISSION STATEMENT
To provide the highest quality of  recovery coaching, products and services, to those who are seeking to manifest a new life after a crisis.
Copyright 2018 SELF, INC. Life Program: Recovery Coaching, Products and Services. All Rights Reserved.

DISCLAIMER
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a. no
b. 1-2 days a month
c. 1-2 days a week
d. 2-3 days a week
e. 4-7 days a week
a. no
b. 1-2 days a month
c. 1-2 days a week
d. 2-3 days a week
e. 4-7 days a week
a. poor
b. fair
c. average
d. above average
e. excellent
a. anorexic
b. very thin
c. thin
d. somewhat thin
e. at ideal weight or N/A
a. obese
b. very overweight
c. overweight
d. somewhat overweight
e. at ideal weight or N/A
a. no
b. 1-2 days a month
c. 1-2 days a week
d. 2-3 days a week
e. 4-7 days a week
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough
a. no
b. 1-2 days a month
c. 1-2 days a week
d. 2-3 days a week
e. 4-7 days a week
a. other (i.e. eating disorder)
b. poor
c. average
d. above average
e. excellent
a. chaotic and stressful
b. very busy
c. busy
d. somewhat busy but still low key
e. calm and peaceful
a. very fast
b. fast
c. somewhat slow
d. moderately slow
e. slow
a. anxious
b. stressed
c. mildly stressed
d. somewhat relaxed
e. relaxed
a. when you are stuffed
b. when you feel very full
c. when you are full
d. when you are somewhat full
e. when you don't feel hungry and are content
a. no
b. rarely
c. sometimes
d. usually
e. always
a. no
b. rarely (i.e. once every 2 to 3 years)
c. occasionally (i.e. once or twice a year)
d. frequently (i.e. once a month)
e. consistently (i.e. at least every other week)
a. very unhealthy
b. unhealthy
c. somewhat healthy
d. healthy
e. very healthy
a. 4-7 days a week
b. 2-3 days a week
c. 1-2 days a week
d. 1-2 days a month
e. no
a. 4-7 days a week
b. 2-3 days a week
c. 1-2 days a week
d. 1-2 days a month
e. no
a. 4-7 days a week
b. 2-3 days a week
c. 1-2 days a week
d. 1-2 days a month
e. no
a. 4-7 days a week
b. 2-3 days a week
c. 1-2 days a week
d. 1-2 days a month
e. no
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. never enough (less than one 8 oz. glass of water)
b. rarely enough (one to two 8 oz. glasses of water)
c. somewhat enough (three to four 8 oz. glasses of water)
d. fairly enough (five to six 8 oz. glasses of water)
e. enough (seven or more 8 oz. glasses of water)
a. every day
b. frequently (5-6 days a week)
c. occasionally (3-4 days a week)
d. rarely (1-2 days a week)
e. never
a. every day
b. frequently (5-6 days a week)
c. occasionally (3-4 days a week)
d. rarely (1-2 days a week)
e. never
a. every day
b. frequently (5-6 days a week)
c. occasionally (3-4 days a week)
d. rarely (1-2 days a week)
e. never
a. every day
b. frequently (5-6 days a week)
c. occasionally (3-4 days a week)
d. rarely (1-2 days a week)
e. never
a. too much (7 days a week)
b. a lot (6 days a week)
c. substantial amount (5 days a week)
d. moderate amount (4 days a week)
e. healthy amount (3 days a week or less)
a. too much (7 days a week)
b. a lot (6 days a week)
c. substantial amount (5 days a week)
d. moderate amount (4 days a week)
e. healthy amount (3 days a week or less)
a. too much (7 days a week)
b. a lot (6 days a week)
c. substantial amount (5 days a week)
d. moderate amount (4 days a week)
e. healthy amount (3 days a week or less)
a. never
b. rarely (1-2 times a week)
c. occasionally (3-4 times a week)
d. frequently (5-6 times a week)
e. every day
a. never
b. rarely (1-2 times a week)
c. occasionally (3-4 times a week)
d. frequently (5-6 times a week)
e. every day
a. never
b. rarely (1-2 times a week)
c. occasionally (3-4 times a week)
d. frequently (5-6 times a week)
e. every day
a. never
b. rarely (1-2 times a week)
c. occasionally (3-4 times a week)
d. frequently (5-6 times a week)
e. every day
a. never
b. rarely (1-2 times a week)
c. occasionally (3-4 times a week)
d. frequently (5-6 times a week)
e. every day
a. every day
b. frequently (5-6 times a week)
c. occasionally (3-4 times a week)
d. rarely (1-2 times a week)
e. no
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough
a. very negative
b. negative
c. somewhat positive
d. positive
e. very positive
a. none
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. very negatively
b. negatively
c. somewhat positively
d. positively
e. very positively
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. very little of it
c. some of it
d. most of it
e. all of it or I don't usually watch TV
a. no
b. very little of it
c. some of it
d. most of it
e. all of it or I don't really listen to music
a. no
b. very little of it
c. some of it
d. most of it
e. all of it or I don't usually read
a. very disorganized
b. disorganized
c. somewhat organized
d. organized
e. very organized
a. chaotic and stressful
b. very busy
c. busy
d. somewhat busy but still low key
e. calm and peaceful
a. very cluttered
b. cluttered
c. somewhat simplified
d. simplified
e. very simplified
a. I don't utilize any tools
b. rarely
c. sometimes
d. frequently
e. every day
a. very disorganized
b. disorganized
c. somewhat organized
d. organized
e. very organized or I don't work (i.e. retired)
a. very cluttered
b. cluttered
c. somewhat simplified
d. simplified
e. very simplified or I don't work (i.e. retired)
a. chaotic and stressful
b. very busy
c. busy
d. somewhat busy but still low key
e. calm and peaceful or I don't work (i.e. retired)
a. very negative
b. negative
c. somewhat positive
d. positive
e. very positive
a. very negative
b. negative
c. somewhat positive
d. positive
e. very positive
a. every day
b. frequently
c. sometimes
d. rarely
e. no or I don't work (i.e. retired)
a. I don't set goals
b. I attempt to make things happen but I don't plan ahead for them
c. I think about things I would like to achieve
d. I have a set of goals in mind that I work on daily to achieve
e. I have a written list of goals and achievements I want to reach in my life
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. chaotic and stressful
b. very busy
c. busy
d. somewhat busy but still low key
e. calm and peaceful
a. no
b. sometimes
c. occasionally
d. frequently
e. every day
a. very complex
b. complex
c. somewhat simple
d. simple
e. very simple
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough or I don't have a spouse or partner
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough or I don't have children
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough or I don't have relatives
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough or I don't have friends
a. no
b. rarely
c. sometimes
d. most of the time
e. all of the time
a. all of the time
b. most of the time
c. sometimes
d. rarely
e. no
a. all of the time
b. most of the time
c. sometimes
d. rarely
e. no
a. all of the time
b. most of the time
c. sometimes
d. rarely
e. no
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough
a. I don't have one
b. distant
c. somewhat close
d. close
e. intimate
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. never
b. rarely
c. sometimes
d. frequently
e. always
a.no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. never
b. rarely
c. sometimes
d. frequently
e. always
a. never
b. rarely
c. sometimes
d. frequently
e. always
a. never
b. rarely
c. sometimes
d. frequently
e. always
a. never
b. rarely
c. sometimes
d. frequently
e. always
a. never
b. rarely
c. sometimes
d. frequently
e. every day
a. never
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every week
a. never
b. rarely
c. sometimes
d. frequently
e. always
a. never
b. rarely
c. sometimes
d. frequently
e. always
a.no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. every day
b. frequently
c. sometimes
d. rarely
e. no
a. every day
b. frequently
c. sometimes
d. rarely
e. no
a. every day
b. frequently
c. sometimes
d. rarely
e. no
a. every day
b. frequently
c. sometimes
d. rarely
e. no
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. every day
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. no
b. rarely
c. sometimes
d. frequently
e. always
a. I always let it affect me negatively
b. I usually let it affect me negatively
c. I rarely let it affect me
d. I frequently counteract with positve energy
e. I always counteract with positive energy
a. never enough
b. rarely enough
c. somewhat enough
d. fairly enough
e. enough