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Initial Assessment
Please fill out this form and help us get a sense of where you are on your journey and where we can help you grow by answering the degree to which the following questions apply to you.
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1
First and Last Name
First Name
Last Name
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2
Email
example@example.com
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3
I don‘t really know who I am.
Strongly agree
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Neutral
Disagree
Strongly disagree
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4
I am consciously aware of my personal strengths and weaknesses.
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Strongly disagree
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5
I cannot easily recount my life journey.
Strongly agree
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Neutral
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Strongly disagree
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6
I struggle with imposter syndrome.
Strongly agree
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Neutral
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Strongly disagree
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7
I am comfortable with who I present myself to be.
Strongly agree
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Neutral
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Strongly disagree
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8
I am not sure what I value most in life.
Strongly agree
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Neutral
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Strongly disagree
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9
I usually accomplish the things I set out to do in life.
Strongly agree
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Neutral
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Strongly disagree
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10
I have difficulty starting big projects.
Strongly agree
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Neutral
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Strongly disagree
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11
I easily meet my diet, exercise, and other personal goals.
Strongly agree
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Neutral
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Strongly disagree
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12
I struggle to moderate my impulsivity.
Strongly agree
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Neutral
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Strongly disagree
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13
In the past year, I have achieved a number of personal objectives.
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Strongly disagree
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14
I am in control of my habits; they don‘t control me.
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Neutral
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Strongly disagree
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15
Multiple challenges don‘t dishearten me.
Strongly agree
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Neutral
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Strongly disagree
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16
I have no difficulty standing up for myself or others in public.
Strongly agree
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Neutral
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Strongly disagree
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17
Although I always wanted to do ____, I chose my current career instead.
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Strongly disagree
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18
People have commended me for my stick-to-itiveness.
Strongly agree
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Neutral
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Strongly disagree
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19
Others can easily persuade me to change my mind.
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Neutral
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Strongly disagree
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20
I usually stick to a task even when significant challenges or obstacles arise.
Strongly agree
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Neutral
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Strongly disagree
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21
I am aware of how and why I make decisions.
Strongly agree
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Neutral
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Strongly disagree
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22
I regularly reflect on my actions to improve upon my decision-making process.
Strongly agree
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Neutral
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Strongly disagree
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23
I seek out multiple perspectives before choosing to act.
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Neutral
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Strongly disagree
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24
I am unsure of why I chose to do the things I do.
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Strongly disagree
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25
I can explain how my weaknesses limit me.
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Neutral
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Strongly disagree
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26
I always weigh the pros and cons of a situation.
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Neutral
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Strongly disagree
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27
I feel I am part of something `bigger.‘
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Neutral
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Strongly disagree
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28
I am not responsible for the well-being of others.
Strongly agree
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Neutral
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Strongly disagree
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29
I am hopeful about the future.
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Neutral
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Strongly disagree
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30
I feel disconnected from the world and my place in it.
Strongly agree
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Neutral
Disagree
Strongly disagree
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31
My work contributes to the betterment of society.
Strongly agree
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Neutral
Disagree
Strongly disagree
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32
I struggle to believe there is a point to human existence.
Strongly agree
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Neutral
Disagree
Strongly disagree
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33
Please upload the initial coaching form and coaching agreement.
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34
Coaching Contract
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35
Self-Definition Score
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36
Self-Discipline Score
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37
Self-Direction Score
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38
Self-Awareness Score
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39
Self-Transcendence Score
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Initial Assessment
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