Comfort Zone Assessment
Evaluate your attitudes and behaviors related to stepping outside your comfort zone.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How often do you intentionally try new experiences?
*
Very Often
Often
Sometimes
Rarely
Never
Rate your comfort with the following situations:
*
Rows
Very Uncomfortable
Uncomfortable
Neutral
Comfortable
Very Comfortable
Speaking in public
1
2
3
4
5
Trying a new hobby
6
7
8
9
10
Meeting new people
11
12
13
14
15
Traveling alone
16
17
18
19
20
Voicing a dissenting opinion
21
22
23
24
25
How do you typically respond when faced with an unfamiliar challenge?
*
Embrace it enthusiastically
Approach it cautiously
Avoid it if possible
Seek help from others
Other
How important is it for you to challenge yourself regularly?
*
Not Important
1
2
3
4
5
6
7
8
9
Very Important
10
1 is Not Important, 10 is Very Important
Rate your willingness to step outside your comfort zone in your professional life.
*
1
2
3
4
5
Rate your willingness to step outside your comfort zone in your personal life.
*
1
2
3
4
5
What are the main barriers that prevent you from leaving your comfort zone? (Select all that apply)
*
Fear of failure
Lack of confidence
Uncertainty about outcomes
Comfort with routine
Lack of support
Other
Describe a recent experience where you stepped out of your comfort zone. What was the outcome?
What is one thing you would like to try in the next month that is outside your comfort zone?
Submit Assessment
Should be Empty: