Design Your Best Life

Design Your Best Life !
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LIFE SATISFACTION QUESTIONAIRE

How satisfied are you with different areas of your life? Select a number from 1 to 10 next to each of the following areas of life. A number 10 means "Completely Satisfied" A number 1 means "Dissatisfied". Try to give an overall assessment of where you are at present. Skip any question you do not feel comfortable answering. All answers will be kept confidential. We will give everyone the opportunity to have a one on one session.
FRIENDS/COLLEAGUES

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
FAMILY

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
ROMANCE

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
HEALTH/FITNESS

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
SELF IMAGE

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
SLEEP

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
CAREER/EDUCATION

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
VOLUNTEER WORK

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
FAITH

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
PERSONAL TIME

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
BUDGET/FINANCES

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
SOCIAL

1

2

3

4

5

6

7

8

9

10

1 is Dissatisfied, 10 is Completely Satisfied
Please answer the following awareness and vision questions. Feel free to skip any question. Thank you!
What are the most important things (good and bad) happening in your life right now?
What did I learn most from my last coaching session?
What CHALLENGES have I experienced since my last session? What observations can I make about the connection between them and my goals from my last session?
What concern, issue or goal would I like to be COACHED on this session? How will this coaching topic help me reach my ultimate goal?
Dream about your life six months- one year from now. What does it look like?
Laura Lawrence Wilcock, CPLC | www.northstarlifecoaching.com | laura@northstarlifecoaching.com | (203) 655-0800
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Design Your Best Life !