Happiness Info Form

Just fill out this quick (1-2 minute) form and you'll be all set to start creating your happiest possible life...

What Will Make You Happy?

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name

E-Mail Address*

Country*

Your Age:

	18-29
	30-49
	50-69
	70+

What is Most Important to You in Life?
(Check all that apply)

	Family
	Money
	Health
	Relationships
	Spirituality/Religion
	Work/Job/Career
	Wealth
	Variety
	Peace-of-mind
	Travel
	Freedom
	Other (describe below)

What is Missing from Your Life?
(Check all that apply)

	A great relationship
	Enough income
	A job or career you love
	Fun or adventure
	Freedom
	Wealth
	A lean, fit body
	Excellent health
	Peace-of-mind
	Other (describe below)

PLEASE CONSIDER...

If the information on this site helps you and you'd like to make a donation to BeHappy101.com (to help make others happy), please click on the button below to make a contribution. The amount you donate is entirely up to you. A portion will used to contribute to the happiness of others and is greatly appreciated.

[WHY DONATE?]

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DISCLAIMER

This site is not intended to provide medical, psychological, financial, legal, or any other professional advice or treatment. The content here at BeHappy101.com is designed solely to provide general happiness, personal development, and quality-of-life information which can support, but not replace, medical, psychological, financial, legal or other professional consultation or advice. If you need professional advice in any of these areas, please seek qualified assistance and consultation.

WHO RUNS BeHappy101.com?

I'm Jimmy, the founder and creator of this site and the whole BeHappy! system. My life's purpose is to be a positive, creative force for health and happiness and through this website, my books, coaching, and happiness-building programs, I intend to help as many people as possible live their happiest possible lives.

Click here to learn more.

WHY DONATE?

You'll be helping me help others like you. Let's spread health, happiness, and abundance around the world together. By donating just a few dollars, you will help keep this site alive and help people all over the world to be happy! Any amount is greatly appreciated.

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