Name
optional
First Name
Last Name
How old are you?
*
Gender
*
What is your education level?
*
Select all that apply
What is your annual gross income level?
*
Are you a Christian?
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If you answered "No" to the above question, how would you describe your faith?
How important is your faith to you?
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1=not important at all, 5=extremely important
Who do you live with?
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Select all that apply
How many people live in your household, including yourself?
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What are the ages of your children, if any?
Who raised you?
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Select all that apply
Education level of those who raised you
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Select all that apply
How would you describe your family's income class growing up?
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What are the ages of your siblings, if any?
Growing up, what values were most important or emphasized in your family?
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Growing up, what values were discouraged or looked down upon in your family?
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How do you think your family shaped your ideas of success and failure?
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What do you do for work currently?
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What is your job title?
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How long have you worked there?
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How satisfied are you in your job?
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1=very unsatisfied, 5=extremely satisfied
Please explain your answer to the above question
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If you DO NOT have a job, why not?
How do you feel about not having a job?
Do you have a second job/small side business?
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If so, what is it?
If so, why do you have this second job?
What other jobs have you had in your life?
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Do you use social media?
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If you DO NOT use social media, why not?
If you do use social media, what platforms?
Select all that apply
On average, how many hours a day do you spend on social media?
Why do you use social media?
How does social media affect your life?
1=makes my life worse, 5=improves my life
How do you generally feel after using social media?
What is your definition of a successful life?
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What is your definition of a wasted life?
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What life goals do you have?
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Do you feel more pressure to achieve goals from others or from yourself?
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Please explain you answer above.
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Do you feel more pressure to fit in or stand out?
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Please explain your answer above.
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What is the greatest source of stress in your life?
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What is your greatest fear in life?
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What regrets do you have, if any?
*
Please rate how much you agree or disagree with the following statements.
*
It's important to discover my unique purpose in this life.
I can change the world.
If my work isn't seen by others then it's not important.
It's important to live in such a way that others will remember me after I'm gone.
There is a lot wrong with the world today, but I am not part of the problem.
The bad things in the world are worse than anything wrong in my life.
If I have the opportunity to do something great, I should.
Living an ordinary life is too small of a goal.
The more people you reach, the more important your work is.
Really important work is seen by others.
It is important to me to have something to share online.
Repetitive work or unskilled work is less important work.
I expect my life and my work to produce visible and measurable results.
I expect to see the effects of my life and my work within a few years.
If I live a godly life, I will generally be successful in what I do.
Anything else you want to share?
Thank you so much for your time! What you shared is kept confidential and will not be used in my book. It is only for my personal research and to help me as I write.
If you left your email address, I may reach out with clarifying questions and might ask to interview you further.
If you have friends of family members who might be willing to take this survey, would you share it with them? Just send the link: kellyneedham.com/survey
If you’re interested in the content of this book, you can check it out here.
Thank you again!
Kelly
