Financial Health Assessment | Clarity. Alignment. Stewardship.
Whether you are navigating money alone or within a marriage, this guided assessment will help uncover what is truly happening in your financial life — not just the numbers, but the habits, communication, and direction behind them.My approach to coaching is grounded in timeless stewardship principles and practical financial wisdom. Estimated time: 7–9 minutes.
START HERE - Personal & Household Overview
About You
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Relationship Status
*
Married
Engaged
Committed Relationship
Single
What is your age group?
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Children in the home?
*
Yes
No
Housing Status
*
Rent
Own
Other
Household Income Range
*
Under $75k
$75–100k
$100–150k
$150–200k
$200k+
What is your current employment status?
*
Employed full-time
Employed part-time
Self-employed
Unemployed
Retired
Student
Other
Is your faith or belief system important in how you think about money?
*
Very Important
Somewhat Important
Not Particulary
Do you currently give or donate consistently
*
Yes, consistently
Occasionally
Rarely
Nor Currently
Financial Clarity & Confidence
Please answer the following questions
Scale of 1-5 (Strongly Disagree → Strongly Agree)
We/I feel in control of finances
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I know exactly where money goes monthly
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I feel confident about financial future
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I are making real financial progress
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I regularly review financial numbers
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I avoid looking at certain accounts
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
Spending sometimes creates guilt
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
We/I feel behind compared to peers
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
Money conversations create tension (conditional if married)
*
1 - Strongly Disagree
2 - Mostly Disagree
3 - Neither Agree or Disagree
4 - Mostly Agree
5 - Strongly Agree
Financial Snapshot
Answer these questions to describe your current financial snapshot
Do you follow a monthly plan?
*
Yes, consistently
No
Total Non-Mortgage Debt
*
Please enter your total non-mortgage debt (credit card, student loans, personal loans, auto loans, HELOCs, etc.)
Emergency Savings Level
*
Please enter your current amount you have set aside in Emergency Savings
Retirement Investing Status (based on current household income, what % is being invested in retirement)?
*
0%
1-5%
6-10%
11-15%
15%+
What causes you the most financial stress? (Select all that apply)
*
Not knowing where our money goes
Feeling like income disappears too quickly
Lack of a clear long-term financial plan
Inconsistent saving or investing
Uncertainty about retirement readiness
Other
What would financial clarity allow you to experience? (Select all that apply)
*
Greater peace of mind
Reduced financial anxiety
Confidence in my/our financial future
Freedom from money related tension
Less guilt around spending
Other
What would financial clarity allow you to experience? (Select all that apply)
*
Stronger unity in our marriage
Clearer financial communication
Shared direction and priorities
Less conflict around money
Feeling like we are truly a team
Other
If coaching helped you gain clarity and long-term direction, would you commit to consistent action over 3–6 months?
*
Yes, absolutely
Likely
Unsure
Probably not
Conditional Path
Financial Alignment Within Your Marriage
Who manages the finances?
*
Husband
Wife
Both
Neither
What is your frequency of money disagreements?
*
All the time
Often
Seldom
Never
We never discuss money
What happens after a financial mistake?
*
We talk through it calmly and adjust
One of us gets frustrated, and tension lingers
We avoid discussing it and move on
It leads to blame or defensiveness
We acknowledge it but don’t change anything
We create a plan to prevent it from happening again
Other
Financial Ownership & Discipline
Who manages the finances?
*
I do
Friend / Partner
Parents
No one
Other
How often do you review your financial progress?
*
Always (Daily / Weekly)
Often (Bi-weekly / Monthly)
Rarely (Only when checking account gets low)
Never
Other
What happens after a financial mistake?
*
I remain calm and adjust
I get frustrated with myself
I ignore it
I acknowledge it but don't do anything
Other
Which statement best describes you?
*
I feel financially intentional and in control
I earn good income but lack clear structure
I manage my finances month to month but don’t feel real progress
I know I could be doing better but haven’t built consistency
I avoid looking closely at certain financial areas
I feel behind compared to where I thought I would be
Other
Readiness& Motivation
Ready for Change?
Why are you considering help right now?
*
If nothing changes, what concerns you most 3 years from now?
*
What have you already tried?
*
Please rate your current motivation level.
*
Please Select
1 - Just Exploring
2 - Interested but not urgent
3 - Open to change
4 - Ready to act
5 - We/I need something now!
If married, is your spouse aware and supportive?
Yes, fully on board
No, not likely to be on board
No, but likely to be on board
Anything Else?
Is there anything else you would like to share about your financial situation?
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