Personal Life Assessment Questionnaire Whole Life Audit All responses will be held in confidence by OnCourse International. * Indicates REQUIRED field.Please complete the entire form to ensure prompt and accurate processing. Your Name:*Age:*Email:* Marital Status:*- Select -MarriedSingleSeparatedDivorcedWidowedYour Vocational Role:*- Select -EntrepreneurIn Family BusinessProfessional ManagerIn MinistryConsultingSpouseUnemployedOtherPhone - Work:Phone - Home:Phone - Mobile:City:State / Province:Postal Code:Country:Spouse / Significant Other Name:Years Together:Names & Ages of Children:Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Describe your vocational situation:Describe the vocational issues you are now facing:Describe the personal issues you are now facing:What is missing in your life that is very important to you?What do you dream about?What are you passionate about?In the broadest sense, what do you want?What is blocking you from getting what you want?Describe how you perceive yourself.Describe how you think others perceive you.Describe your relationship with your spouse or significant other.Describe your relationship with your children.Describe your relationship with your parents and siblings.Describe the quality of your relationships with the people you call "friends."What concerns you the most about your relationships with other people?Describe your spiritual life.Describe the life transitions you are presently confronting (be as specific as you feel comfortable).What losses (loved ones, dreams, relationships, possessions, positions) have you experienced in your life?To what extent have you grieved these losses, accepted them and moved on?By whom have you been betrayed in your life? How have these betrayals impacted your life? How, if at all, do you still carry the remnants of these betrayals?Describe your current and past experiences working with outside advisors, counselors or facilitators in either your personal life or vocational life.Confidentiality Notice:A copy of your submitted questionnaire will be sent to you at the email address you provide in the following field. You may leave this field blank if you do not wish to receive a copy of the completed questionnaire. Please verify you are human: This iframe contains the logic required to handle Ajax powered Gravity Forms.