GLOW Program Participant Questionnaire
Introduction
Welcome to the GLOW Program! This questionnaire will help me understand where you’re currently at in various aspects of your life. Please take a few minutes to answer the following questions honestly. Your responses are confidential and will guide me in tailoring the program to your needs.
Self-Assessment
Rate yourself on a scale from 1 to 10 (1 = Needs Improvement, 10 = Thriving).
Health and Wellness
How would you rate your current health and wellness?*
Relationships with your partner (if applicable):*
Relationships with your friends*
Relationships with your family*
Career and Professional Growth--
How satisfied are you with your career or professional growth?*
Clarity and Direction--
How clear are you about your personal goals and direction in life?*
Self-Love and Self-Worth--
How would you rate your level of self-love?*
Self-Love and Self-Worth--
How would you rate your sense of self-worth?*
Overall Joy and Fun--
How much joy and fun do you experience in your daily life?*
Feminine Energy--
How in touch do you feel with your feminine energy?*
Feminine Energy--
How in touch are you with your sensuality?*