Dr. Jalal Mouti
Dr. Jalal Mouti
Coach Dr. Jalal Mouti
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My Life right now!
Sometimes 2 minutes of reflection reveals so much about WHERE we are right now! On a scale of 10, rate the following areas of your life.
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Name
*
First
Last
Phone
*
Email
*
Gender
*
Female
Male
Date of Birth
*
25/02/2000
How would you rate "FAMILY" in your life right now?
Selected Value:
5
How would you rate "FUN" in your life right now?
Selected Value:
5
How would you rate your "HEALTH" right now?
Selected Value:
5
How would you rate "LOVE" in your life right now?
Selected Value:
5
How would you rate "SPIRITUALITY" in your life right now?
Selected Value:
5
How would you rate your "CAREER" right now?
Selected Value:
5
How would you rate "MONEY" in your life right now?
Selected Value:
5
How would you rate "FRIENDS" in your life right now?
Selected Value:
5
What would you like to "IMPROVE" in your life right now?
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