Listed below are eight primary areas of your life. Take some time to consider the level of current satisfaction you are experiencing in each area. Ask yourself the included questions to assist. Once you have gone through the questions, evaluate yourself on a scale from one to ten in each area, with one representing little or no satisfaction and ten representing a maximum level of satisfaction.

Rating Scale: Rate each item on a scale from 0 to 10:

• 8-10: Good - this area of my life is strong and I am very satisfied with thia area of my life
  
• 5-7: Fair - this area needs work and may create some issues in my life
  
• 0-4: Needs Work - I have very little satisfaction in this area of my life.

  You can print this page and mark your score for each statement in the space provided.

  Whole Life Assessment Please note that all fields followed by an asterisk must be filled in. 1. SOCIAL & RELATIONAL How are your friendships? How is your support network? How do you feel about your interpersonal skills? How is the romance in your life? What would you like to improve in this area? Enter your score 0-10:* 1. SOCIAL & RELATIONAL How are your friendships? How is your support network? How do you feel about your interpersonal skills? How is the romance in your life? What would you like to improve in this area? Enter your score 0-10:* 2. FAMILY How are your relationships with your parents? Siblings? Children? Spouse? Extended family? What “unfinished business” (i.e.-resentments, etc.) do you have with your family? How would you like your family life improved? Enter your score 0-10:* 2. FAMILY How are your relationships with your parents? Siblings? Children? Spouse? Extended family? What “unfinished business” (i.e.-resentments, etc.) do you have with your family? How would you like your family life improved? Enter your score 0-10:* 3. VOCATIONAL How satisfied are you with your current career? What would you rather be doing? What type of work has brought you the most satisfaction in the past? What did you always want to do but never have? How do you see your career future? Enter your score 0-10:* 3. VOCATIONAL How satisfied are you with your current career? What would you rather be doing? What type of work has brought you the most satisfaction in the past? What did you always want to do but never have? How do you see your career future? Enter your score 0-10:* 4. PHYSICAL HEALTH How are your eating habits? How is your regular exercise program? How are your sleeping patterns? How is your weight? When was your last complete physical exam? How could your health be improved? Enter your score 0-10:* 4. PHYSICAL HEALTH How are your eating habits? How is your regular exercise program? How are your sleeping patterns? How is your weight? When was your last complete physical exam? How could your health be improved? Enter your score 0-10:* 5. RECREATIONAL & CREATIVITY What do you do in your leisure time? How do you relax and have fun? What creative outlets do you have? What creative endeavors do you want to explore? How could this area of your life to be improved? Enter your score 0-10:* 5. RECREATIONAL & CREATIVITY What do you do in your leisure time? How do you relax and have fun? What creative outlets do you have? What creative endeavors do you want to explore? How could this area of your life to be improved? Enter your score 0-10:* 6. FINANCIAL What is your debt level? What are you doing to plan for the future? Do you have other streams of income besides your job? Do you operate from a budget or track your spending patterns? How do you want your financial future to be different? Enter your score 0-10:* 6. FINANCIAL What is your debt level? What are you doing to plan for the future? Do you have other streams of income besides your job? Do you operate from a budget or track your spending patterns? How do you want your financial future to be different? Enter your score 0-10:* 7. PERSONAL GROWTH/SPIRITUAL How is your spirituality? How do you release your emotions? What do you do with emotional overload? Do you go to personal growth workshops? How would you like to see this area of your life improved? Enter your score 0-10:* 7. PERSONAL GROWTH/SPIRITUAL How is your spirituality? How do you release your emotions? What do you do with emotional overload? Do you go to personal growth workshops? How would you like to see this area of your life improved? Enter your score 0-10:* 8. PHYSICAL ENVIRONMENTS How is your home environment in terms of comfort? Your work environment? Your car environment? How do you manage the “clutter” in your life? How do you balance this part of your life? How do you balance this part of your life? Enter your score 0-10:* 8. PHYSICAL ENVIRONMENTS How is your home environment in terms of comfort? Your work environment? Your car environment? How do you manage the “clutter” in your life? How do you balance this part of your life? How do you balance this part of your life? Enter your score 0-10:* My Total Whole Life Assessment Score:* My Total Whole Life Assessment Score:* Enter the following information and call me at (727) 394-7325 for a complimentary 15 minute assessment of your results! First and Last Name* Enter the following information and call me at (727) 394-7325 for a complimentary 15 minute assessment of your results! First and Last Name* E-mail Address* E-mail Address* Phone* Phone*

  
  
  

  RESULTS 60-80: Green light - You are well on your way to a great and satisfying life 40-59: Yellow light - Continue to work on the areas where you need to strengthen your life skills. 0-39: Red light - Spend time really working on the areas needed to create a more satisfying life.

  
  
  

  Ready for the rich and rewarding life you deserve? Call today to see what coaching can do for you...
  
  No matter what your score is, REALationship Coaching can help...Call or email me today!
  
  
  

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  Ken Donaldson, MA, LMHC
  10333 Seminole Blvd Suite 6
  Seminole FL 33778
  (727) 394-7325
  Ken@REALationshipCoach.com
  www.REALationshipCoach.com
  “Illuminating and Inspiring Brilliance”