Life Satisfaction Survey
Please fill out the form below truthfully.
Are you satisfied on who you are right now?
Yes
No
Not sure
Do you have a positive attitude?
Yes
No
Not sure
Do you know your strengths and weaknesses?
Yes
No
Not sure
Do you have self-confidence? If yes, are you satisfied with its current level?
Yes
No
Not sure
Do you feel that your life is balanced?
Yes
No
Not sure
Do you say "Yes" to all people?
Yes
No
Not sure
Can you refuse things or tasks that you don't need?
Yes
No
Not sure
Do you have goals and ambitions?
Yes
No
Not sure
Do you know your purpose?
Yes
No
Not sure
Do you like laughing and being happy daily?
Yes
No
Not sure
Were you able to express your creativity in something like art, design, or writing?
Yes
No
Not sure
Do you celebrate your birthday?
Yes
No
Not sure
Have you tried something new in the last 3 months?
Yes
No
Not sure
Do you have hobbies that you enjoy regularly?
Yes
No
Not sure
Do you enjoy life?
Yes
No
Not sure
Are you currently in a relationship (in a relationship, married engaged?
Yes
No
Not sure
If you're single, are you currently happy?
Yes
No
Not sure
Are you currently happy with your relationship?
Yes
No
Not sure
Is he/she your ideal or dream partner?
Yes
No
Not sure
Do you have the confidence to have new friends?
Yes
No
Not sure
Did you have healthy relationships in the past?
Yes
No
Not sure
Do you spend quality time with your partner?
Yes
No
Not sure
Do you trust your partner?
Yes
No
Not sure
Do you have the same goals in life?
Yes
No
Not sure
Do you feel or think your body is healthy?
Yes
No
Not sure
Do you perform an exercise on a regular basis?
Yes
No
Not sure
Are you getting enough sleep?
Yes
No
Not sure
Are you content with your current weight?
Yes
No
Not sure
Are you going to the gym or any workout classes?
Yes
No
Not sure
Are you eating a well-balanced diet?
Yes
No
Not sure
Do you have bad habits like smoking or drinking alcohol?
Yes
No
Not sure
Are you regularly going to the doctor?
Yes
No
Not sure
Are you regularly going to a dentist for a dental check-up?
Yes
No
Not sure
Do you like coming to work?
Yes
No
Not sure
Is your current work the job you're dreaming of?
Yes
No
Not sure
Are you happy and content with your current income?
Yes
No
Not sure
Is your current job giving you a lot of stress?
Yes
No
Not sure
Do you feel respected by your colleagues and superiors?
Yes
No
Not sure
Do you take vacation leave or time-off every month?
Yes
No
Not sure
Do you have a clear goal in your current work?
Yes
No
Not sure
Are you currently satisfied with your social life?
Yes
No
Not sure
Do you have friends that you can rely on if you have problems?
Yes
No
Not sure
Do you have a good relationship with your family?
Yes
No
Not sure
Are you currently satisfied with your financial status?
Yes
No
Not sure
Do you have an insurance plan?
Yes
No
Not sure
Do you have a health care plan?
Yes
No
Not sure
Do you have a weekly, monthly, or yearly budget?
Yes
No
Not sure
Do you save a portion of your income and put it in your savings?
Yes
No
Not sure
Do you have an emergency fund?
Yes
No
Not sure
Do you have credit card debt?
Yes
No
Not sure
Do you have clear and reachable financial goals?
Yes
No
Not sure
Kindly share your comments, suggestions, or feedback
How did you hear about us?
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Print
Submit
Should be Empty: