Self Assessment Tool
Getting your facts together? Help get the focus that you want with this tool. Template is design to help you organize for what you do best!
Categories:
Survey
Tags:
personal,assesment,
Shared by:
Inspirediq
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Self Assessment Tool
Fill out your personal data
Your Name:
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Email Address:
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How did you hear about us?
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Is this an individual assessment or business?
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What needs to BE DIFFERENT right now? Please state in less than 10 words
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What's Missing?
Please read the following and please select your your answer
Have you made clear decisions to what needs to BE DIFFERENT yet?
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Yes
No
Not Yet
Have you engaged in any other help to BE DIFFERENT yet?
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Yes
No
Not Yet
Do you have clear goals to BE DIFFERENT?
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Yes
No
Not Sure
Have you completed any research or analysis to support what needs to BE DIFFERENT?
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Yes
No
Not Sure
Let's understand who you are a little more ...
Write in your own words
Please describe in 20 words or less your biggest achievement so far personally or for your business:
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Now, please describe in 20 words or less what brings you the most satisfaction personally or for your business:
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Using no more than 10 words please state what annoys, irritates or worries you the most currently about you personally or your business:
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If you had to choose only 5 key words to describe YOU, which would you choose?
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Loud
Caring
Tough
Helpful
Attractive
Unselfish
Instinctive
Disagreeable
Desired
Sincere
Strong Willed
Unhealthy
Skilful
Loyal
Clever
Determined
Overweight
Independent
Thoughtful
Successful
Inventive
Greedy
Trustworthy
Honest
Calm
Fair
Horrible
Dominating
Confident
Choosy
Strategic
Innovative
Creative
Complex
Busy
Strict
Now please choose only 5 key words to describe how ‘others’ would describe YOU.
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Loud
Caring
Tough
Helpful
Attractive
Unselfish
Instinctive
Disagreeable
Combative
Sincere
Strong Willed
Unhealthy
Skilful
Loyal
Clever
Determined
Overweight
Independent
Thoughtful
Successful
Inventive
Greedy
Trustworthy
Honest
Calm
Fair
Horrible
Dominating
Confident
Choosy
Strategic
Innovative
Creative
Complex
Busy
Strict
Think DO - BE DIFFERENT - Up Your Game!
Using 20 words or less; please state if you could change just ONE thing, what would it be?
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What things do you feel you need to develop to improve YOU? (Please list all things; if you wish please state the level where you feel you’re at now).
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Using 20 words or less; please describe what you fear most:
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Please use just one word to summarise your greatest moment EVER!:
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Putting YOU in Focus
Using the sliding scale of 0% - 100% please provide your view of the following statements:
I have clear objectives:
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My objectives are realistic:
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My objectives are achievable in the time set:
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Things are often out of my control:
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There hasn't been much luck lately:
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Other's don't take me seriously:
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I often sabotage my own success:
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I am extremely confident:
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I take proactive steps to get what I want:
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I often lack motivation to acheive what I want:
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I am passionate about lmy goals:
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I am an impatient person:
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