Coaching Survey

I would like to make changes in the following area(s) of my life; Work

Health and Fitness

Friends

Money

Family

Work life balance

My home

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
I spent more time on my relationships	*I would be happier if; I spent more time on my relationships Strongly agree	I spent more time on my relationships Agree	I spent more time on my relationships Neutral	I spent more time on my relationships Disagree	I spent more time on my relationships Strongly disagree
I did more for other people	I did more for other people Strongly agree	I did more for other people Agree	I did more for other people Neutral	I did more for other people Disagree	I did more for other people Strongly disagree
I led a more healthy lifestlye	I led a more healthy lifestlye Strongly agree	I led a more healthy lifestlye Agree	I led a more healthy lifestlye Neutral	I led a more healthy lifestlye Disagree	I led a more healthy lifestlye Strongly disagree
I spent more time with my family	I spent more time with my family Strongly agree	I spent more time with my family Agree	I spent more time with my family Neutral	I spent more time with my family Disagree	I spent more time with my family Strongly disagree
I changed jobs	I changed jobs Strongly agree	I changed jobs Agree	I changed jobs Neutral	I changed jobs Disagree	I changed jobs Strongly disagree
I worked less	I worked less Strongly agree	I worked less Agree	I worked less Neutral	I worked less Disagree	I worked less Strongly disagree
I had more money	I had more money Strongly agree	I had more money Agree	I had more money Neutral	I had more money Disagree	I had more money Strongly disagree

	100/0	90/10	80/20	70/30	60/40	50/50	40/60	30/70	20/80	10/90	0/100
Currently	*My work life balance in terms of % of time and effort spent on work/life is; Currently 100/0	Currently 90/10	Currently 80/20	Currently 70/30	Currently 60/40	Currently 50/50	Currently 40/60	Currently 30/70	Currently 20/80	Currently 10/90	Currently 0/100
And I would like it to be	And I would like it to be 100/0	And I would like it to be 90/10	And I would like it to be 80/20	And I would like it to be 70/30	And I would like it to be 60/40	And I would like it to be 50/50	And I would like it to be 40/60	And I would like it to be 30/70	And I would like it to be 20/80	And I would like it to be 10/90	And I would like it to be 0/100

If a job pays the bills, a career is about getting promoted and a calling is a passion that happens to be work then my work is currently; A job

A career

A calling

Most of the time I am; Very happy

Happy

Neutral

Unhappy

Very unhappy

What I would most like to change in my life is;

If you would like to receive the results from the survey please add your email here;

CoachingExit this survey