Start Your Success Survey

‘START YOUR SUCCESS’ SURVEY

You may download a printer friendly pdf version of this survey and print it, or press Ctrl + P to print the page from your web browser. Please take a few minutes to complete this survey which may illuminate important information about your life. Write your response beside each question.

1=poor 2=limited skill 3=some skill (average amount) 4=good 5=very good

How would you rate your skill level in these areas?

1. How do you handle mistakes?	____
2. Are you able to positively deal with conflict in your relationships?	____
3. How would you rate your self-esteem?	____
4. How skilled are you at planning, preparation and organization?	____
5. How would you describe your boundaries with others?	____
6. Are you able to adapt to different situations?	____
7. On average, how easy is it for you to laugh each day?	____
8. How skilled are you at completing projects or reaching your goals?	____
9. How would you rate your energy level?	____
10. How would you rate your quality of sleep?	____
11. Are you able to ask for help when you need it?	____
12. How self-reliant are you?	____
13. How reliable would others say you are?	____
14. How skilled are you at giving yourself praise?	____
15. What is your ability to stay calm in frustrating situations?	____
16. How would you rate your ability to forgive others?	____
17. How would you rate your ability to forgive yourself?	____
18. How easy is it for you to take time for yourself without feeling guilty?	____
19. What rating would you give your financial situation?	____
20. What is your satisfaction level with your job?	____

After completing the survey, add up the numbers to get your total amount.

0 - 59 = this is a wake-up call. Your life could use a complete overhaul. So as not to become overwhelmed, begin with only one life area.

60 - 69 = there is substantial room for improvement. You may be living life passively, allowing it to control you rather than you controlling life.

70 - 79 = your life could use some improving such that a small change could make a big difference.

80 - 100 = your life is going very well. You may want to fine-tune certain areas or challenge yourself with a new goal.

If you would like to discuss your results further, please contact me:
Email: anita@spiritsoars.ca
Skype: Gratitude 38
Phone#: (250) 729-0962