When you do not know what you want, you cannot easily differentiate between the work you need to do and work which you don’t need to do. You end up doing more work than you need to and, as pointed out earlier, you allow yourself insufficient time to recover from your efforts. This will eventually lead to stress and the negative health consequences associated with it.
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The journal is a PDF of all the exercises from the book. It stands alone and is a great help for doing the early work on being clear about what you want.