Complete the survey below for an opportunity to win a free message series from Kerry Shook!

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Question 1

What aspect of relationships has been most challenging for you so far in your life?

  • Communicating openly
  • Trusting the other person
  • Remaining faithful
  • Telling the truth
  • Sharing emotions
  • Facing disappointments
Question 2

If today you discovered that you only had one month to live, what's the first thing you would want to do or change?

  • Improve relationships
  • Quit your job
  • Plan a trip
  • Eat junk food
  • Pray
  • Other:
Question 3

Which relationships would you most want to invest in improving if you only had a month left?

  • Spouse
  • Children
  • Parents
  • Siblings
  • Friends
  • Co-workers
Question 4

As you look back on your life, which of the following best describes it?

  • An action-adventure movie
  • A wacky sit-com
  • An extreme makeover
  • An unsolved mystery
  • A reality TV show
  • A passionate romance
Question 5

Do you feel like you have lived your life so far with a clear sense of purpose?

  • Yes
  • No
  • Not sure what your purpose in life is yet
Question 6

In what areas of your life would you want to make the most changes if you only had one month to live?

  • Finances
  • Relationships with Immediate Family
  • Relationships with Friends
  • Relationship with God
  • Scheduling
  • Career/job
  • Other:
Question 7

What's been the area of greatest satisfaction for you so far in your life?

  • Time with your family
  • Relationship with your spouse
  • Achievements in your career
  • Service to others
  • Participation in your church
  • Getting/staying out of debt
  • Enjoyment from purchased items
  • Other:
Question 8

If you had one month to live, which of the following place/events would you most want to experience?

  • Luxury vacation in Hawaii
  • Superbowl with your favorite football team playing
  • Dinner at the Jules Verne Restaurant atop the Eiffel Tower in Paris
  • African safari
  • Shopping spree in Beverly Hills
  • Expedition to climb Mount Everest
  • Other:
Question 9

What do you believe is the most significant legacy you could leave after you've passed away?

  • Financial security for your family
  • Innovations in your career field
  • Vivid memories with friends and family
  • Your reputation as someone of outstanding Christian character
  • Portfolio of blue-chip stocks and bonds
  • Mission trips to share God's love
  • Heirloom jewelry
  • Other:
Question 10

What is the greatest obstacle presently to living your life fully, as if you only had one month to live?

  • Family commitments and obligations
  • Financial responsibilities (bills, mortgage, etc.)
  • Expectations of those around you
  • Personal security and comfort
  • Career ambition
  • Lack of support from others
  • Your own fears
  • Other:
Read more about the authors of One Month to Live, Kerry and Chris Shook!