The Next Chapter Assessment

1
Which of the following best describes the stage of life you are currently navigating?* This field is required.
Transitioning into high school
Navigating adolescence and becoming more independent
Preparing for college or further education
Transitioning into college or university
Navigating college or university
Newly Wed
New Parent
Other
2
Other (stage of life)
3
What is the biggest transition you are currently navigating?* This field is required.
4
How would you describe this stage of life, in your own words?* This field is required.
5
What is the hardest part of the stage of life you are currently in?* This field is required.
6
What are the three biggest challenges you are currently experiencing?* This field is required.( Select top three)
Knowing what I want
Knowing what to do next
Making decisions
Trusting my decisions
Understanding myself
Other
7
Other (challenge)
8
Of the challenges you selected, which one affects you the most right now? Name it, then explain briefly.
9
If you had to describe your current experience in one word, what would you call it?
10
If you could explain what is happening in your life to someone who really understands, what would you say?
11
Which statement sounds most like your experience?* This field is required.
I know I need to make a change, but I do not know where to start.
I have many options, but I do not know which one is right for me.
I know what I want, but I do not know how to get there.
I feel like I am living according to other people’s expectations.
I am doing what I am supposed to do, but I do not feel fulfilled.
I am not sure yet
None of these. My experience is:
12
None of these. My experience is:
13
What do you think is contributing to the challenges you are experiencing?
I do not know what I want.
I do not know myself well enough.
I have too many expectations from others.
I am afraid of disappointing people.
I compare myself to others.
Other (contributing factor)
I don't follow through on what I say I'd do
14
Other (contributing factor)
15
Which of these feels most true for you? Name it, then explain.
16
What do you think would make the biggest difference in your situation?
17
How does this challenge affect your life?
I struggle to make decisions
I procrastinate
I avoid taking action
I second-guess myself
I feel overwhelmed
Other
18
How much does this challenge interfere with your ability to move forward?
19
What is one decision, action, or opportunity you feel this challenge is currently affecting?
20
What kind of support would be most helpful to you right now?
A place to talk through what I am experiencing
Help understanding myself
Help making decisions
Help identifying my values
Help clarifying my direction
Other
21
If you could get help with one thing right now, what would it be?
22
What would be different in your life if you had that support?
23
What kind of support or guidance feels most useful to you at this stage?
24
What type of support would you be most likely to participate in?* This field is required.
One-time workshop
Multi-week course
Small group
One-on-one coaching or mentoring
Self-paced workbook or guide
Other (support format)
Group Coaching/Mentorship Cohorts
25
What is your age range?* This field is required.
Under 16
16–17
18–20
21–24
25–29
30–34
35–44
45–54
55+
26
What is your current education or work status?* This field is required.
High school student
College or university student
Graduate student
Employed full-time
Employed part-time
Self-employed
Unemployed and looking for work
Unemployed and not looking for work
Retired
Other (education or work status)
27
Where do you currently live?* This field is required.City, State, Country
28
Is there anything else you want us to understand about your current stage of life?
29
Name
First Name
Last Name
30
Phone Number
Area Code
Phone Number
31
Email
example@example.com
Should be Empty: