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Questionnaire
Remember To Answer As Carefully & Honestly As Possible, Please Take Your Time To Be Accurate
Name
Email
Why did you decide to join Scott Edwards Mentorship?
What are your beliefs about money?
What's the most you have earned in a year?
What are the beliefs you have for why you are earning what you are earning?
What is your financial goal?
Are you satisfied with you current income?
Are you looking to replace your current income or supplement it, or both? Explain below
Have you worked with a mentor before?
What areas of your life would you like to improve the most?
Where have you been feeling stuck the most?
If you could only change one thing about you in the next 30 days, what would it be?
How long have you been studying personal development?
What is the most valuable lesson you have learned about yourself?
How would you rate your own Self Confidence Level?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to read people’s character?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to concentrate?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to focus?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to memorize?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to look at situations from another’s point of view?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to think and plan using your intellect?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
How would you rate your ability to allow yourself to imagine new situations for yourself?
10 (Perfect)
9
8
7
6
5 (Average)
4
3
2
1 (Poor)
Have you ever been diagnosed with any condition related to your mental health?
Are you currently prescribed or have you ever taken any medication related to mental health?
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