Ignite Personal Assessment Form

Part I. Personal Assessment
You already know that it's near impossible to improve what you don't measure. Good metrics are vital for measuring progress and achieving results in your business.

Tracking progress also applies to personal growth. We can only improve if we know where we are and where we want to go. So let's get started!

Instructions:

Sit in a quiet place & set your timer for 20 minutes.

Read each statement in Part I and and type the first number from 0-10 that comes to mind. 0= Never; 10=Always

REMEMBER:

There are no right or wrong answers. High or low numbers don't make you MORE or LESS AWESOME - they don't change who you are. This is simply a collection of data, a "litmus test," if you will, and results will remain confidential.

This simply gives us a glimpe into your personal awareness and beliefs as a starting point so we can break through your obsticals more quickly.

Are your ready? Set your timer and dive it!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I recognize how my internal dialogue influences the way I feel & act
0 Never / 10 Always
I notice whether things are happening TO me or WITHIN me
0 Never / 10 Always
I am fulfilled and find joy in my life's journey
0 Never / 10 Always
I set short term goals and assess them on a regular basis
0 Never / 10 Always
I feel that I can truly be myself around others
0 Never / 10 Always
I am satisfied with where I am in my business
0 Never / 10 Always
I set long term goals and assess them on a regular basis
0 Never / 10 Always
I can identify when what I'm feeling is a result of what I'm thinking or saying to myself
0 Never / 10 Always
I feel appreciated
0 Never / 10 Always
I feel heard and understood by my loved ones
0 Never / 10 Always
I feel heard and understood by my team
0 Never / 10 Always
I recognize my emotions as I feel them
0 Never / 10 Always
I can express myself easily and respectfully to others
0 Never / 10 Always
I listen to my own thoughts and understand myself
0 Never / 10 Always
My contributions are valued by my loved ones
0 Never / 10 Always
My contributions are valued by my team
0 Never / 10 Always

I feel my contributions were valued when I was a child
0 Never / 10 Always
I am an active listener when others speak to me
0 Never / 10 Always
I keep my emotions in check and choose to act instead of react
0 Never / 10 Always
I can easily build rapport with others
0 Never / 10 Always
I feel that my ideas and feelings are valid
0 Never / 10 Always
I can read and understand other's emotions easily
0 Never / 10 Always
I feel that my ideas and feelings are more valid than others
0 Never / 10 Always
I often feel the need to prove that I'm right
0 Never / 10 Always
I ignore my feelings & emotions and put on my happy face
0 Never / 10 Always
I try to change my loved ones' unpleasant responses or actions
0 Never / 10 Always
I feel confident that I can achieve my biggest goals
0 Never / 10 Always
I feel that my struggles are greater than most other people's struggles
0 Never / 10 Always
I invite feedback for ways to improve from professionals/colleagues
0 Never / 10 Always
I invite feedback for ways to improve from loved ones
0 Never / 10 Always

I know how to quiet my mind and focus when I need to get work done
0 Never / 10 Always
I am clear on my goals, both personally and professionally
0 Never / 10 Always
I pay attention to what my heart and mind are nudging me to do, say, or learn
0 Never / 10 Always
I love making money
0 Never / 10 Always
I accomplish what I set out to achieve
0 Never / 10 Always
I believe that money is easy to make
0 Never / 10 Always
People say that I'm an overachiever
0 Never / 10 Always
When I think of money, I feel stressed
0 Never / 10 Always
I put things off
0 Never / 10 Always
I feel overwhelmed
0 Never / 10 Always
I don't have enough time in my day
0 Never / 10 Always
I am ambitious
0 Never / 10 Always
I feel like a stranger in my own life
0 Never / 10 Always
I schedule & enjoy regular downtime
0 Never / 10 Always
I take time regularly to do what fuels me
0 Never / 10 Always
I procrastinate
0 Never / 10 Always
I feel strong and capable
0 Never / 10 Always
I have a healthy relationship with money
0 Never / 10 Always
I celebrate my successes regularly
0 Never / 10 Always
I know how to calm myself when upset and don't let it derail my whole day
0 Never / 10 Always
I worry about how others might perceive my success
0 Never / 10 Always
I make time to get together with people I love
0 Never / 10 Always
I am clear on my goals and how to achieve them
0 Never / 10 Always
I know how to motivate myself and I keep the momentum going
0 Never / 10 Always

I invest in my personal growth & development
0 Never / 10 Always
I engage in hobbies that I love
0 Never / 10 Always
I feel stressed trying to balance everything at work and home
0 Never / 10 Always
I know I have weaknesses and am not embarrassed by them
0 Never / 10 Always
My mind is a record of the past that I visit often
0 Never / 10 Always
My mind is a map to the future and I evaluate my progress often
0 Never / 10 Always
I am aware of how I spend or invest my time each day
0 Never / 10 Always
I am aware of my habits and how they affect my results
0 Never / 10 Always
I am aware of my expectations for myself
0 Never / 10 Always
I know my strengths and I am confident in sharing them
0 Never / 10 Always
I track and evaluate my tasks each week and continually aim to improve productivity
0 Never / 10 Always
I am aware of my expectations for my loved ones
0 Never / 10 Always
I communicate my expectations well
0 Never / 10 Always
I don't expect others to live up to my unspoken expectations. I love them where they are
0 Never / 10 Always
I regularly plan time for fun and relaxation
0 Never / 10 Always
I am easily distracted
0 Never / 10 Always
I take action daily toward my goals
0 Never / 10 Always
I often find myself spinning in circles with little direction
0 Never / 10 Always
I am clear on my life's purpose
0 Never / 10 Always
I feel capable and confident
0 Never / 10 Always
I'm aware of how I respond when expectations aren't met
0 Never / 10 Always
I allow time for reflection in my day
0 Never / 10 Always
I plan time to rest or take a break during the work day
0 Never / 10 Always
I am tied to my phone all day
0 Never / 10 Always
I feel overwhelmed
0 Never / 10 Always
I love myself
0 Never / 10 Always
I believe in myself
0 Never / 10 Always
The words I say to myself are kind, forgiving and encouraging
0 Never / 10 Always
I avoid conflict
0 Never / 10 Always
I prefer work over play
0 Never / 10 Always
The words I say to myself are critical, negative, phrases I would never say to another person
0 Never / 10 Always
I feel guilty when things come easily for me
0 Never / 10 Always
I feel most valued when I am working hard
0 Never / 10 Always
I believe that success comes mostly from hard work
0 Never / 10 Always
I focus on the lessons in life rather than the losses
0 Never / 10 Always
I feel guilty for wanting more money in my life
0 Never / 10 Always
I face challenges and look for ways beyond them
0 Never / 10 Always

Woo hoo! You're almost done!

One last short section to complete.
Part II. Responses
On a scale from 0-10, overall how confident do you feel right now?
0 Low / 10 High
On a scale from 0-10, how stressed/concerned do you feel right now?
0 Low / 10 High
On a scale from 0-10, how satisfied are you with your life?
0 Low / 10 High
What are your key stressors, challenges or concerns?
On a scale of 0-10, how happy are you with your life right now? Share a list of what makes you happy? Or what makes you feel alive.
0 Low / 10 High
Do you know your purpose and do you have a written purpose statement?

Yes, I know my purpose, but haven't written it yet. (Please share your thoughts below)Yes, I have a written purpose statement (Share below)No, not sure or still working on it.
If you have one, please share your purpose statement here. Or share some ideas of what you believe it might be.
What are your top 5 strengths?
What topic could you speak about for 30 minutes to a friend, with little to no preparation?
What are your top 3 weaknesses?
What's the biggest change you'd like to make in your life (personal or professional), that would make the biggest difference? (Assuming you knew what steps to take and had the support to do it effectively).
What do you think is getting in the way of making the changes you want?
What is the cost of not making these changes?
What comes to mind when asked, "What are you resisting?"
What do you want most from our coaching engagement?
What would the ideal coaching engagement look like for you?
Why is now the time to break through the obstacles that hold you back?
On a scale from 1-10, how willing are you to put in the work to achieve your goals?
Should be Empty:

Part I. Personal Assessment

Woo hoo! You're almost done!

Part II. Responses