Life Balance Assessment - Update as Needed
Use this form to assess where you are with different aspects of your life. Identify solutions you want to try and keep track of how well they worked for you.

You may come back to this assessment and continue edit and update as needed. Look for an email after each time you change your assessment and flag/mark the email so you may find it easily. Just click on the link in the email to edit and update your responses. You may also bookmark the form after the first submission to allow you quick access to edit your assessment.

Privacy Notice: We will not disclose your personal information such as name and email address nor will we share the results of your assessments without your prior authorization.

(This form was created by TheGentleLife.com - Please contact us if you need assistance with this form.)
Email address *
First and Last Name *
Your answer
Family Relationships & Marriage *
Mark how satisfied you are right now with your family relationships including marriage.
Very Disatisfied
Very Satisfied
Faith Relationships *
Mark how satisfied you are right now with your relationships related to Faith, Faith Groups, Christ and Jesus.
Very Disatisfied
Very Satisfied
Authentic Vocation *
Mark how satisfied you are right now with your vocation, trade or career. Do you feel fulfilled or do you feel called to a more authentic vocation?
Very Disatisfied
Very Satisfied
Health & Diet *
Mark how satisfied you are right now with your overall health including physical/mental/emotional health, diet and exercise.
Very Disatisfied
Very Satisfied
Nature & Recreation *
Mark how satisfied you are with spending time enjoying nature and engaging in recreational activities alone or with friends and family.
Very Disatisfied
Very Satisfied
Community Connections *
Mark how satisfied you are with your community connections including time spent volunteering or engaging with good community projects.
Very Disatisfied
Very Satisfied
Finances *
Mark how satisfied you are with your finances, spending habits, income and savings.
Very Disatisfied
Very Satisfied
Areas of Focus
Choose one or more areas where you want to make changes and note them here.
Your answer
You may submit this assessment now by clicking on the "Submit" button below or you may continue with making notes on solutions you want to try. Come back to this assessment to update your solutions and how well they worked for you.
**Solution #1**
Note a life area and a solution you want to try to improve that area of your life.
Your answer
Outcome of Solution #1
Did Not Work For Me
Great Success!
**Solution #2**
Note a life area and a solution you want to try to improve that area of your life.
Your answer
Outcome of Solution #2
Did Not Work For Me
Great Success!
**Solution #3**
Note a life area and a solution you want to try to improve that area of your life.
Your answer
Outcome of Solution #3
Did Not Work For Me
Great Success!
**Solution #4**
Note a life area and a solution you want to try to improve that area of your life.
Your answer
Outcome of Solution #4
Did Not Work For Me
Great Success!
**Solution #5**
Note a life area and a solution you want to try to improve that area of your life.
Your answer
Outcome of Solution #5
Did Not Work For Me
Great Success!
A copy of your responses will be emailed to the address you provided.
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