Values Alignment Reflection
Reflect on your core values and how they align with your current actions and environment.
Full Name
First Name
Last Name
Email Address (optional, for follow-up)
example@example.com
What are your top 3-5 core values? (e.g., honesty, compassion, growth)
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Rate how well you are currently living in alignment with each of your core values.
*
Rows
Not at all
Somewhat
Mostly
Completely
Value 1
1
2
3
4
Value 2
5
6
7
8
Value 3
9
10
11
12
Value 4
13
14
15
16
Value 5
17
18
19
20
In which areas of your life do you feel most aligned with your values? (Select all that apply)
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Work/Career
Family
Friendships
Personal Growth
Community Involvement
Health & Wellness
Other
Please describe a recent situation where you felt you acted in strong alignment with your values.
*
Please describe a recent situation where you felt you were not fully aligned with your values.
*
What factors most support you in living according to your values? (Select up to 3)
*
Supportive relationships
Personal discipline
Clear goals
Work environment
Personal reflection
Mentorship/coaching
Other
On a scale of 1 to 10, how satisfied are you with your current alignment between your values and your daily actions?
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Not satisfied
1
2
3
4
5
6
7
8
9
Completely satisfied
10
1 is Not satisfied, 10 is Completely satisfied
What is one action you will commit to in order to better align your actions with your values?
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Would you like to receive a summary of your responses or additional resources on values alignment?
*
Yes, please send me a summary/resources.
No, thank you.
Submit Reflection
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