RATE YOUR LIFE –SELF SURVEY .pdf

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RATE YOUR LIFE –SELF SURVEY
From Chapter 2
Start by answering these questions:
1. If money and time were no object what would I choose to do with my life?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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2. What are three important goals I wish to accomplish in my lifetime?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
3. What do I really love to do when I’m working?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
4. I want others to remember me as a person who…
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
5. My gifts and natural strengths are…
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
6. What do I want to contribute in the future for the betterment of others?
___________________________________________________________________________
___________________________________________________________________________
© 2018 by COUPLES & BUSINESS, LLC

www.CouplesandBusiness.com

___________________________________________________________________________
___________________________________________________________________________
7. What am I most passionate about? (When I’m doing this I am always
happy)
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Some of you probably may have thought deeply on these questions before. If not, realize this
is a process, so give yourself the time to really think about your responses.
Often entrepreneurs figure out they are good at something, may enjoy it or even be
passionate about it and then they jump in without thought to the direction they are going.
Working in the business without a vision for the future is costly.
1) Rate your life in the following areas (1-10) 10 is excellent
Health
Family/Friends
Financial Security
Partner/Significant other
Business Success
Leisure/adventure time
Spirituality
Hobbies/creative outlet
Other: (specify) ___________________________________
2) What 2 areas above are you willing to improve over the next 3-6 months
that would make the biggest difference in your life? (Hint: anything you
marked as a 5 or below may need some attention)
_____________________________________________________

© 2018 by COUPLES & BUSINESS, LLC

www.CouplesandBusiness.com

3)

What 2 things are you just tolerating or putting up with in your life?

a) __________________________ b)_________________________
4) What 2 things do you most love about your life?
a) ___________________________ b) _________________________
5) If you could change one area in your life right now, what would that be?
______________________________________________________

HOW DO YOU SABATOGE YOUR EFFORTS? (Which things are you most
inclined to do? Check all that apply and star the ones that you do most often)
____Being indecisive ____Procrastinating ____Not being honest with yourself
____Getting overwhelmed ____ Saying “Yes” too quick ____Saying “No” too quick
____ Not asking for help ____ Not following through on your word
____ Relying on other peoples opinions _____ Overextending
____ Not being clear on your vision _____
____Other (list)________________________________________
6) Are you willing to make any changes? Y____ N_____ If yes, start by
writing down your vision for one area of your life.
Pick one area you are willing to work on and get specific on what you want in that area (i.e.: I
am so happy and grateful now that …I make $150,000 in my business (or something better);
My health is fantastic and I am limber, lean and fit with even energy all day. At this point do
not get caught up in how you will do this-just pick one area-(the more vivid you can get the
better…you want to paint a picture with emotions and images)
If you need additional help, sign up for our complimentary Needs Discovery Session… go
from "feeling stuck" to having a plan of action! ​Sign up H
​ ERE

© 2018 by COUPLES & BUSINESS, LLC

www.CouplesandBusiness.com


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