Quality of Life Checkup Welcome, Guest Personal Assessment
Date: Name: E-mail:
(Totally Satisfied) = 10
Step 1: Rate your current level of satisfaction in each area:
High Quality Food, Self-Care, Exercise: Health & Fitness
Friends, Family, Partnerships: Relationships
Income & Assets, Expenses & Liabilities, Financial Planning: Money & Finance
Creative Expression, Play, Recreation/Entertainment: Creativity
Business Plan, Career Goals, Professional Development: Business & Career
Intellectual Development, Reflection, Meditation/Prayer: Mind & Spirit
Home, Work, Vehicle, Community: Quality of My Environments
1. WHAT AREAS OF LIFE ARE YOU MOST MOTIVATED TO CHANGE RIGHT NOW?
2. IN WHAT WAYS HAVE YOU BEEN LIMITED OR BLOCKED THAT PREVENTED YOU FROM CREATING THE EXPERIENCES YOU WANT?
3. CHANGES NEEDED/DESIRED?
4. WHAT ARE YOU WILLING TO DO TO CREATE THE CHANGES YOU NEED/DESIRE?
Step 2: Strategize with a Coach You will receive a thank you page after sending. Joseph or a LA Coaching Club Coach will e-mail you a copy of what you sent.