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

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Looking for balance? Changing careers? Anita Mann, a Life and Personal Development Coach, provides in person, online or phone coaching to clients from Nanaimo, Victoria, Vancouver, Seattle, Portland and beyond.