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Well Being:  
I rarely watch television (less than 5 hours/week)
I have had a complete physical exam within the past 3 years
My weight is within my ideal range
I have a rewarding life beyond my work or profession
I have something to look forward to virtually every day
I have no habits that I find to be unacceptable
 
Environment:  
My personal files, papers are neatly filed away
I live in a geographic area of my choice
I am consistently early or easily on time
I consistently have adequate time, space and freedom in my life
I am not tolerating anything about my home or work environment
I have nothing around the house or in storage that I do not need
 
Relationships:  
I have told my parents, in the last 3 months, that I love them
There is no one who I would dread or feel uncomfortable “running across” in the street, at an airport, or party
I put people first, results second
I do not gossip or talk about others
I am a person of his/her word; people can count on me
I do not judge or criticize others
 
Money:  
I currently live well within my means
I currently save at least 10% of my income
I know how much I must have to be minimally financially independent and I have a plan to get there
I have 6 months’ living expenses in a money market-type account
I know how much I am worth
My will is up to date and accurate


NOTE: Please Complete Entire Form Since It Cannot Be Saved.


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