LIFE ASSESSMENT
Welcome to the Life Satisfaction and Reflection Assessment!

This form is designed for you to check in with yourself and reflect on your current level of satisfaction across various life areas.

Your answers will help you gain insights into what’s working well and identify areas for improvement.

Please rate each statement on a scale from 1 to 5, where 1 is least true and 5 is most true for you.

Your responses are confidential.

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RELATIONSHIP & FAMILY
I spend at least 10 hours of focused time with my family each week.
least true
most true
Clear selection
I get together with friends at least once a week.
least true
most true
Clear selection
I am actively engaged in learning how to be a better spouse, parent and/or friend.
least true
most true
Clear selection
I actively look for way to support and help advance the success of my friends and family.
least true
most true
Clear selection
I take complete responsibility for all relationship conflicts as they arise.
least true
most true
Clear selection
I easily trust those I live and work with.
least true
most true
Clear selection
It is easy for me to commit to others and honor those commitments.
least true
most true
Clear selection
I recognize when I need support and am continually seeking help.
least true
most true
Clear selection
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