Creating Fulfillment in Your Life

LIFE COACHING INTAKE ASSESSMENT

CREATING FULFILLMENT IN YOUR LIFE
In our coaching together, my goal is to support and empower you to create a more fulfilled life. Self-evaluating is the first step in identifying the areas you want to improve upon and one of the most crucial parts of growth and transformation.

Please rate each category below, scoring 1 – 10 to each item independently. # 1 is the lowest level of satisfaction while a # 10 is the highest level of satisfaction.

Rate from 1 – 10
Self Confidence
Significant Other
Career
Family
Friends
Physical Health and Well Being
Emotional Health and Well Being
Physical Environment
Finances
Spirituality/Religion
Education/Personal Growth
Fun and Leisure
Lifestyle
Personal Joy
Balance in Life

Describe in more detail the top 3 areas you’d most like to focus on.

What would you have to do or change to make these things happen in the next 30-90 days?

How will you know when you have achieved these goals?

How best can I coach you? i.e.: Direct questions, accountability assignments, feedback, all of the above.

Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is - His good, pleasing and perfect will. Romans 12:2

Intake Assessment | 661-241-0575 | info@sallybetters.com
Sally Betters, CLC © The Transformed Life LLC