Build Better Habits MEMBERS ONLY

Connect your existing results to your current habits.

Identify more effective ways to do routine responsibilities.

GET MOMENTUM teaches specific tactics you can use to learn the psychology (and physiology) behind changing habits. Start by filling out the Self-Assessment.

Name*

First NameLast Name

Mobile #*

Area CodePhone Number

Section A: Planning

I feel as if I spend a lot of time “putting out fires” at work.*

	1	2	3	4

1 is never, 4 is always

I get involved in other people’s tasks and projects, postponing attention to my own.*

	1	2	3	4

1 is never, 4 is always

When I’m doing a task, I wonder, “How did I get myself into this?”*

	1	2	3	4

1 is never, 4 is always

I find myself complaining, “I have no time,” “I have too much to do,” or “I’m too busy.”*

	1	2	3	4

1 is never, 4 is always

I ignore important tasks, then, at the last minute, work frantically to get them done.*

	1	2	3	4

1 is never, 4 is always

I run around doing things, without really feeling that I’m accomplishing very much.*

	1	2	3	4

1 is never, 4 is always

Section B: Responsibility

I think a lot about what I’d like to accomplish but rarely get projects off the ground.*

	1	2	3	4

1 is never, 4 is always

I spend more time thinking about a project than actually working on it.*

	1	2	3	4

1 is never, 4 is always

I wish someone else would handle the details of life, freeing me to do what’s creative.*

	1	2	3	4

1 is never, 4 is always

I wish I weren’t so busy, but secretly believe I don’t know how it could be any other way.*

	1	2	3	4

1 is never, 4 is always

People sometimes accuse me of being a dreamer/having my head in the clouds.*

	1	2	3	4

1 is never, 4 is always

I feel that life is chaotic and that I can never be sure what the next day will bring.*

	1	2	3	4

1 is never, 4 is always

Section C: Self-Care

I am critical of what I have accomplished or how long it took me to finish.*

	1	2	3	4

1 is never, 4 is always

I am satisfied with what I do only if it is as good as it can possibly be.*

	1	2	3	4

1 is never, 4 is always

I have trouble starting projects or working on my own because I doubt my ability.*

	1	2	3	4

1 is never, 4 is always

I expect great things of myself but I always seem to fall short.*

	1	2	3	4

1 is never, 4 is always

I hesitate to leave my comfort zone and avoid situations that cause stress or anxiety.*

	1	2	3	4

1 is never, 4 is always

I become easily fatigued or agitated when something disrupts my normal routine.*

	1	2	3	4

1 is never, 4 is always

Is there anything else you'd like us to know? (Why would you like to change your habits? How important IS it that you get better at this skill?)

Let us know, we'll respond right away! Just leave us an email address below.

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THANK YOU for giving yourself the gift of your attention.

Sincerely,

Jason and Jodi Womack

(Coauthors of Get Momentum: How to Start When You're Stuck, and cofounders of the GET MOMENTUM Leadership Academy)

PS: Total your scores from EACH SECTION (A, B and C) and read about your results on PAGE 4 of the Course Work at https://get-momentum-leadership-academy.teachable.com/courses/habits/lectures/6093685