Applications Questions – Re-Create Your Life

Re-Create Your Life

Application to book your free Midlife Re-Creation Call
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Application

1) List your relationships in order of importance to you now..

2) Choose one. When starting a new venture or relationship do you feel: *

Exhilarated and optimistic?
Hesitant and afraid?
Cautious yet eager?

3) When I think of the negative voice in my head it's... (select all that apply)

It’s over-protective and makes me afraid of making a mistake.
It is judgmental and shaming.
It makes me feel insecure and incompetent.
It makes me feel guilty.

Name the most important thing that would be different if you could replace your negative inner-voice with one that supports, encourages and empowers you:

4) Often our intimate relationships are complex and contradictory. In my childhood I would describe my primary parental relationship[s] as (check all that apply) *

Happy
Un happy
Narcissistic
Angry
Check-out or absent
Over-protective or anxious
Frustrated
Manipulative
Supportive
Weak
Strong
Loving
inspiring

5) What are your biggest challenges with being able to create and live a juicy, fulfilling life? Check all boxes that apply. *

Relationships
Health
Procrastination
Self esteem
Self image
Self doubt
Lack of support
Unsatisfactory work
Too many responsibilities
Other

6) What are your biggest challenges with being able to create and live your most fulfilling life? Check all boxes that apply.

Relationships
Health
Procrastination
Self esteem
Self image
Self doubt
Lack of support
Unsatisfactory work
Too many responsibilities
Other

7) On a scale of 1-10, At this time how ready are you to invest in Re-Creating your life for more joy, connection, and soul in your life and relationships?

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Book your Midlife Re-Creation Call here:
In your Free 30 Minute Life Re-Creation Discovery Session You’ll gain:

1. Clarity in creating new goals.
2. You’ll uncover your hidden obstacles.
3. You’ll learn how you can Re-Create your life and how I can guide and support you in creating your ideal life.

Name *

Email *

Phone Number - Only numbers and no spaces.

We will not share any information and phone # is not required

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Madeleine Sklar, MS
Life Re-Creation Guide

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5 Keys for more joy, connection and soul in your life and relationships

Re-Create Your Life

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Application to book your free Midlife Re-Creation Call
Claim your Free Gift