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Name
*
Age
Gender
Email
*
How did you hear about Built for Battles?
Your employment status
Employed
Unemployed
Self-Employed
If contentment was 1 and struggling was 10, where would you consider yourself on the scale?
Selected Value:
5
Are you happy with your work environment?
Yes
No
In the description, shortlist the benefits and opposing challenges within your work environment.
Do you exercise routinely or participate in any physical activity outside of your daily, general or working life?
Yes
No
Briefly describe your weekly exercise schedule.
How do you consider your nutrition?
Good
Average
Poor
Briefly summarise your general approach or mindset towards nutrition.
Are you creative or actively utilising one or many creative outlets?
Yes
No
What are your go-to creative pursuits? Or, where do you think you most utilise your general creativity?
Is this submission in regards to Music Class, specifically?
Yes
No
Can you provide further detail? (Feel free to scroll down and click SUBMIT if the following questions do not apply to you)
Is depression, anxiety, addiction, emotional instability, weight management, general health, work stress, general mental illness or past / present trauma a re-occurring issue in your life?
Yes
No
Which of these, or others not listed, are of greatest concern to your wellbeing? Please provide a description, briefly outlining said concerns.
Categorise this list in order of priority / importance to you, 1 to 8. (1 being highest priority, 8 the lowest). There are no wrong answers, just answer as honestly as you can.
1
2
3
4
5
6
7
8
Career
1
Career 1
2
Career 2
3
Career 3
4
Career 4
5
Career 5
6
Career 6
7
Career 7
8
Career 8
Material Wealth
1
Material Wealth 1
2
Material Wealth 2
3
Material Wealth 3
4
Material Wealth 4
5
Material Wealth 5
6
Material Wealth 6
7
Material Wealth 7
8
Material Wealth 8
Physical & Mental Health
1
Physical & Mental Health 1
2
Physical & Mental Health 2
3
Physical & Mental Health 3
4
Physical & Mental Health 4
5
Physical & Mental Health 5
6
Physical & Mental Health 6
7
Physical & Mental Health 7
8
Physical & Mental Health 8
Environment
1
Environment 1
2
Environment 2
3
Environment 3
4
Environment 4
5
Environment 5
6
Environment 6
7
Environment 7
8
Environment 8
Love life
1
Love life 1
2
Love life 2
3
Love life 3
4
Love life 4
5
Love life 5
6
Love life 6
7
Love life 7
8
Love life 8
Family
1
Family 1
2
Family 2
3
Family 3
4
Family 4
5
Family 5
6
Family 6
7
Family 7
8
Family 8
Creativity
1
Creativity 1
2
Creativity 2
3
Creativity 3
4
Creativity 4
5
Creativity 5
6
Creativity 6
7
Creativity 7
8
Creativity 8
Social Life
1
Social Life 1
2
Social Life 2
3
Social Life 3
4
Social Life 4
5
Social Life 5
6
Social Life 6
7
Social Life 7
8
Social Life 8
Do you use Social Media?
Yes
No
How many hours per day, approximately?
Anything else you'd like to add?
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