Personal Coaching Assessment What part of your life would you like to improve the most? Relationship/Family Finances Career Fitness Mindset Other If Other, Please Specify: Do you believe that it’s possible to improve on this area of your life? Yes No I'm Not Sure Do you believe that improving this area of your life will have a positive impact on you and/or your family? Yes No I'm Not Sure Are you willing to take on new challenges if it would help you reach your goal? Yes No How confident do you feel that you could reach your goal if you had someone to help show you the way? Not Confident Somewhat Confident Confident Extremely Confident If nothing could stop you, how soon would you like to begin working on reaching your goals? Right Now Within 1 Week Within 1 Month Within 1 Year Get My Results