Wheel of Life Self-Assessment Survey Form
Reflect on your current satisfaction across key areas of life. Use this Wheel of Life Self-Assessment Survey Form to rate where you are today and identify your priorities for growth.
Rate your satisfaction with each area of your life below.
Life Area Satisfaction Ratings
*
Rows
Satisfaction (1 = Very Dissatisfied, 10 = Fully Satisfied)
Career & Work
1
Finances
2
Health & Wellbeing
3
Family & Relationships
4
Personal Growth & Learning
5
Fun & Recreation
6
Physical Environment
7
Contribution & Giving
8
Which area of life feels most important for you to focus on right now?
*
Career & Work
Finances
Health & Wellbeing
Family & Relationships
Personal Growth & Learning
Fun & Recreation
Physical Environment
Contribution & Giving
Other
How balanced do you feel your life is overall?
*
Not at all balanced
1
2
3
4
5
6
7
8
9
Very balanced
10
1 is Not at all balanced, 10 is Very balanced
What is one small action you could take this week to improve your most important area?
How motivated do you feel to make changes in your life right now?
Not motivated
1
2
3
4
5
6
7
8
9
Highly motivated
10
1 is Not motivated, 10 is Highly motivated
Submit Assessment
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