Your P.A.T.H. Questionnaire...

...you're only a step away from having your own custom coaching audio to supercharge your subconscious mind anytime you like!

Your P.A.T.H. recording entrains and opens the subconscious mind, and creates the best possible environment for the new, empowering beliefs expressed in your custom written coaching script of affirmations and visualisations, to take hold and empower your magnificent transformation.

Your next step is to fill in the P.A.T.H. questionnaire below.

Or if you'd rather you can download either the Word or Pages document below. Or you can download the pdf and send me an email with your answers in the body of the email. Whatever you prefer.

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Name

First

Last

How do you pronounce your name?

Phonetically write how you like your name to be said.

City/Country

Helps with timezone for organising our video chat.

Phone Number

1. Please share a time/experience when you were REALLY relaxed

For a short moment, and to prepare your mind for the questions, can you recall a time—a moment, day, hour—when you felt completely relaxed? Describe the feelings of that moment in detail; the sensation of your senses, what you recall about that moment now:

2. What specific goal/s would you like to realise over the next 3-6 months?

Shoot for the moon! Imagine the world is in the palm of your hand and whatever you choose to visualise will come to be. What do you imagine?

3. Have you ever done affirmations before? Either spoken aloud or written down

a) Yes, spoken
b) Yes, written
c) Yes, both spoken and written
d) No

4. Do you believe in the power of suggestion—that the mind ‘makes real’ what it holds onto or focuses on? 

a) Yes
b) No
c) Possibly

5. What are you ready to change in your life to take it to the next level ie. all your dreams coming true?

7. If you could wave a magic wand and have one of your goals achieved right now, which goal would you choose? NB. Answer by finishing the prompt, "I have now achieved my goal of..."

I have now achieved my goal of...

9. What gives your life meaning? What fills you with purpose and gives you the motivation to become all you can be?

10. If you could change anything in the world what would you change?

SELF TALK

11. Do you believe it is possible to always speak well about yourself? If not, why not?

12. What is the most encouraging thing you tell yourself?

13. What is the most self-destructive thing you tell yourself?

14. Do you ever swear at yourself? If so what do you say?

15. What do you think might be your number 1 limiting self-belief?

16. Are there any circumstances where you are more likely to talk down about yourself?

17. Are there any more limiting self-beliefs you have?

18. Do you deserve to be spoken to well? Why?

19. When would it be okay for you to speak down about yourself?

20. In relation to your self-talk what specific outcomes would you like to achieve with your P.A.T.H.?

HEALTH

21 - On a level from 1-10, with 10 being the healthiest you have ever been, how healthy are you today?

22. Why do you love your body?

23. Why do you enjoy eating foods and drinking beverages that nourish you?

24. Do you regularly drink alcohol? If so would you like to lower your consumption?

25. Do you regularly eat organic food? If you don't eat organic food are you open to the idea of eating organic food?

26. Do you regularly eat processed food? Why?

27. Does stress ever trigger poor diet choices for you?

28. How often do you meditate?

a) Daily meditation
b) Weekly meditation
c) Occasional meditation
d) Never meditate

29. Do you enjoy getting compliments on your physical fitness or the way you look? Why or why not?

30. In relation to your health what specific outcomes would you like to achieve with your P.A.T.H.?

RELATIONSHIPS

31. Why is it important to accept yourself as you are right now, even if you hope for change in the future?

Some of these questions are posed as ‘afformations’ a particular type of question which is designed to elicit a response to the ideal, for e.g. “Why are you completely fulfilled in your romantic relationship” implies you are in a romantic relationship that is working perfectly. Even if you are not in a relationship, or if you are and it could do with some attention, please answer these questions with the ideal in mind.

32. How strongly do you agree with the statement, “Allowing others to be how they want to be allows me to be how I want to be.”

A) Strongly
B) A bit
C) Not at all

33. Do you find it easy to find the blessing in all situations?

34. Is it safe for you to express love to everyone you meet? Why or why not?

35. Is the courage to be yourself a super power? Why?

36. Who needs to forgive you for you to be happy?

37. Who do you need to forgive for you to be happy?

38. Why do you attract kind, considerate and loving people into your life?

39. Do you take full responsibility for all the relationships in your life?

40. In relation to your relationships what specific outcomes would you like to achieve with your P.A.T.H.?

WEALTH

41. If money was no question what would you do differently today?

42. If money was no question what else in your life would be different?

43. Do you believe money comes to you when you feel good about yourself?

44. What are your limiting beliefs about money? Write as many as you can think of.

45. What are your empowering beliefs about money? Write as many as you can think of.

46. What is the best thing money has ever allowed you to do?

47. How does having plenty of money feel for you?

48. Do you enjoy sharing your wealth? Why or why not?

49. It’s twenty years in the future. You have more money than you ever dreamed. How did you become so rich?

50. In relation to your wealth what specific outcomes would you like to achieve with your P.A.T.H.?

Thinking big! Please add anything else—conditions, feelings, physical 'things'—you would like to manifest? Are there any other specific goals you would like to realise?

Well done. If you like you can go over your answers before you press 'Submit'. Then you are done! If you have any questions please email me anytime at: ben@grant-empowerment.com

Download the P.A.TH. questionnaire

Choose your preferred file type below.

Word (PC) document

Pages (Mac) document

PDF document

Once you have completed and submitted the P.A.T.H. questionnaire I will email you to book in our video chat session.

That call is a great chance for us to go deeper into any areas of the questionnaire you feel like exploring more, or including anything in your P.A.T.H. you might like to add.

If you have any questions please email ben @ grant-empowerment.com