Women Who Spark Life Online Assessment

Women Who Spark Life Assessment

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Please enter a number from 1 to 150.
Today's Date
PART ONE: A General Look Back
What has gone well for you during the past 12 months? List as many items as you can think of and, for each, include a brief explanation. This list will serve as a narrative for this year of your life. You will have no limit.
What has not gone as well as you would have liked? Again, list as many items as you can think of, and include an explanation.
On a scale of 1 – 5, with 5 being high, how satisfied and fulfilled do you feel with this past year?*
- 5: This was a fantastic year! One of my best ever.
- 4: This was a good year.
- 3: This year was okay, neither good nor bad. `
- 2: This wasn’t my best year. I’m looking forward to better days ahead.
- 1: This was a terrible year. Reset please!
What other notes would you like to document relative to this year of your life?
PART TWO: An Assessment of Key Areas of Your Life
You will be presented with ten key areas of life. For each area, rate your current level of satisfaction on a scale of 1 – 5. You may skip areas that are not relevant for you.
5 = I am extremely satisfied with this area of my life.
4 = I am satisfied most of the time.
3 = I am satisfied about half of the time.
2 = I am, for the most part, dissatisfied with this area of my life.
1 = I am doing terribly here

Assessment of key areas

	1	2	3	4	5	Not Relevant
Relationship with your spouse or significant other
Family
Friends
Health and fitness
Spirituality, joy, peace and contentment
Home and space
Hobbies and interests
Finances
Work and professional life
Mom role

Add any comments to support the ratings you just completed. These comments will be included in your report and are for your benefit. I encourage you to be detailed, so you have this to look back on as a historical record of this point in time. These details may also help you in your future planning.
PART THREE: Select Your Priorities
Now it’s time to think about planning. From the list below, select three areas you would like to focus on intentionally in the coming year. In selecting these areas, you are saying “These are high priorities for me, and I want to get create a plan to improve in these areas.” This does not mean you can’t work on other areas. Your choices are simply helping you prioritize how you use your time, energy and resources.
Select three priorities
- Spouse or significant other
- Family (you can choose extended or nuclear)
- Friendships
- Health, fitness, weight and diet
- Spirituality, joy, peace, contentment
- Home and Space
- Hobbies and Interests
- Finances
- Work and Professional Life
- Mom role

PART ONE: A General Look Back