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Counseling

Life Satisfaction & Balance

How satisfied are you with your life right now? Your answers help our counselors understand where you are and where you’d like to be.

Life Satisfaction & Balance form

Questions marked * are required. Your answers go only to our counseling team.

Your answers are private: only our counseling team can read them.

1. Contact Info
2. ID Details
Marital Status *
Sex *
3. Balance Test

How satisfied are you with your life currently? On a scale of 1 to 10 (1 being the least satisfied and 10 being the most satisfied), how would you rate each area of your life?

Please rate your current level of satisfaction with each of the following areas of your life.

Personal Spiritual Life and Growth
Church/Religious Life
Physical Health
Marriage/Romantic Relationship
Home Life (Family Cohesion - How the Family "Works")
Personal Order (Organization, Efficiency, Simplicity)
Extended Family Relationships (Relatives, In-Laws)
Friends/Social Life
Fun and Recreation/Hobbies
Financial Stability
Physical Environment (Home, Cars, Neighborhood, etc.)
Career/Employment
4. Ideals
5. Tolerating

What are you tolerating that is draining your energy?

6. Needs

Questions? Call (606) 448-3048 or email info@redriverwellness.org.