Mindset Assessment

Mindset Assessment

Your body language and communication style depend on your mindset. Your mindset includes your thoughts, emotions, and how you perceive things. This assessment will help me understand your current state and determine the most effective way to support you in achieving your desired mindset.
Please answer as accurately and honestly as you can. All responses will be kept confidential.
Name*

First NameLast Name
Email*
example@example.com
Instructions: Select one response below each statement to indicate how much you agree or disagree.
I like most parts of my personality.*

Strongly agreeSomewhat agreeA little agreeA little disagreeSomewhat disagreeStrongly disagree
When I look at the story of my life, I am pleased with how things have turned out so far*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
Some people wander aimlessly through life, but I am not one of them.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
The demands of everyday life often get me down.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
In many ways I feel disappointed about my achievements in life.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
Maintaining close relationships has been difficult and frustrating for me.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I live life one day at a time and don't really think about the future.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
In general, I feel I am in charge of the situation in which I live.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I am good at managing the responsibilities of daily life.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I sometimes feel as if I've done all there is to do in life.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
For me, life has been a continuous process of learning, changing, and growth.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I think it is important to have new experiences that challenge how I think about myself and the world.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
People would describe me as a giving person, willing to share my time with others.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I gave up trying to make big improvements or changes in my life a long time ago*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I tend to be influenced by people with strong opinions*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I have not experienced many warm and trusting relationships with others.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I have confidence in my own opinions, even if they are different from the way most other people think.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree
I judge myself by what I think is important, not by the values of what others think isimportant.*

Strongly agreeSomewhat agreeA little agreeNeither agree nor disagreeA little disagreeSomewhat disagreeStrongly disagree

Instructions: Select one response below each statement to indicate how much you agree or disagree.
I feel that I am a person of worth, at least on an equal plane with others.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I feel that I have a number of good qualities.*

Strongly AgreeAgreeDisagreeStrongly Disagree
All in all, I am inclined to feel that I am a failure.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I am able to do things as well as most other people.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I feel I do not have much to be proud of.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I take a positive attitude toward myself.*

Strongly AgreeAgreeDisagreeStrongly Disagree
On the whole, I am satisfied with myself.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I wish I could have more respect for myself.*

Strongly AgreeAgreeDisagreeStrongly Disagree
I certainly feel useless at times.*

Strongly AgreeAgreeDisagreeStrongly Disagree
At times I think I am no good at all.*

Strongly AgreeAgreeDisagreeStrongly Disagree

Over the last two weeks, how often have you been bothered by the following problems?
Feeling nervous, anxious, or on edge*

Not at allSeveral daysMorethan half the daysNearly every day
Not being able to stop or control worrying*

Not at allSeveral daysMorethan half the daysNearly every day
Worrying too much about different things*

Not at allSeveral daysMorethan half the daysNearly every day
Trouble relaxing*

Not at allSeveral daysMorethan half the daysNearly every day
Being so restless that it is hard to sit still*

Not at allSeveral daysMorethan half the daysNearly every day
Becoming easily annoyed or irritable*

Not at allSeveral daysMorethan half the daysNearly every day
Feeling afraid, as if something awful might happen*

Not at allSeveral daysMorethan half the daysNearly every day
What areas do you want to work on?
What does success in this area(s) look like?
Please verify that you are human*
Anxiety (0–4: minimal anxiety, 5–9: mild anxiety, 10–14: moderate anxiety, 15–21: severe anxiety)
Self Esteem Score (less than 15 = low self-esteem, 15 - 25 = normal)
Autonomy
Environmental Mastery
Purpose in Life
Personal Growth
Positive Relations
Self-Acceptance
Should be Empty: