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Live Life Creatively - Caitie Sherrick
A Leocadia K. ICA Survey
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DEMOGRAPHICS
First & Last Name
Your answer
Age
Your answer
Level of Education
Highschool
Bachelor's
Graduate
Other:
Marital Status
Married
Divorced
Single
In a long term relationship
Clear selection
Residence
What kind of home do you live in? City/Suburbs?
Your answer
Do you have children? If so, how many?
Your answer
Occupation
Your answer
Income
Your answer
Life Beliefs
Your answer
INTERESTS
Favorite Books
Your answer
Favorite Music
Your answer
Favorite TV Shows
Your answer
Favorite News/Blogs/Media Outlets
Your answer
What do you do with your free time?
i.e. garden, yoga, draw, etc?
Your answer
What social media platform(s) do you use the most?
Facebook
Instagram
Pinterest
Twitter
Other:
What experts do you follow?
Your answer
Do you travel? If so, to where/how often? If not, where do you dream to travel to?
Your answer
How important is it to you to travel?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
What brands do you love across any industry?
Your answer
How important is it to you to be a domestic goddess?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
How important is it to you to have a career?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
LET'S GO DEEP & DARK
What do you secretly fear may be true about your life?
Your answer
What do you secretly fear when making personal luxury purchases?
specficially when purchasing: jewelry/accessories, art, home decor
Your answer
What do you worry about? What keeps you up at night?
Your answer
What stresses you out on a regular basis?
Your answer
What triggers the most fear in your life?
Your answer
What's the worst case scenario in regards to the above fear?
Your answer
How do you fear others perceive you?
Your answer
How important is it to you to make a great first impression?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
How much do you care about what other people think?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
Where do you wish you had more power/control in your life?
Your answer
Do you think you spend too much money on yourself?
Eh.
1
2
3
4
5
Fo shizzle.
Clear selection
How afraid are you of spending too much money on yourself?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
Do you think buying yourself luxury items makes you look more affluent or materialistic?
Affluent
1
2
3
4
5
Materialistic
Clear selection
DON'T WORRY THE SCARY PART'S OVER!!
NOW, LET'S GO HIGH AS THE SKY
What do you secretly wish was true about your life?
Your answer
What do you wish you had more of in your life?
Your answer
What does your dream vacation look like?
Your answer
What does your dream closet look like?
Your answer
What does your dream home look like?
Your answer
How do you think others will perceive you if you had/did these things?
Your answer
What will you be able to do, get or achieve if you had/did these things?
Your answer
ALMOST THERE!!
STYLE/TASTE/WHAT MAKES YOUR EYES HAPPY
How would you describe your taste/style?
Check all that apply
Modern
Bohemian
Multicultural/Ethnic
Pretty
Clean
Casual
Comfortable
Feminine
Simple
Mindful
Whimsical
Edgey
Trendy
Fresh
Effortless
Glamorous
Abstract
Other:
How important is it to you to look original/unique?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
Anything else you'd like to add about your style/visual taste?
Your answer
Living Life Creatively
What does the phrase "live life creatively" mean to you?
Your answer
Would you say that you live creatively?
Yes
No
Other:
Clear selection
How creative are you?
I can't hold a crayon.
1
2
3
4
5
I have visual ADD
Clear selection
How important is it to you to be creative?
Eh.
1
2
3
4
5
OMG. It's a big deal.
Clear selection
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