1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Which Best Describes You?
I don’t have annual goals
I have a few annual goals
I have several written annual goals
I keep a complete written list of my annual goals
This field is hidden when viewing the form
NUMBER OF AREAS
This field is hidden when viewing the form
TOTAL
This field is hidden when viewing the form
= SCORE
This field is hidden when viewing the form
SCORE LEVEL
This field is hidden when viewing the form
Token
Unique token for entry
How many annual goals do you have?
1–3
4–6
7–9
More than 9
How would you define your goals?
General hopes
Unwritten aspirations
A list of resolutions
Clear, compelling statements of intent
Other
How well formulated are your goals? Are they…
Clearly defined?
Measurable and objective?
Directive about what action you need to take?
Truly challenging?
Tied to a deadline or another time key, like a streak target?
Personally exciting to you?
Aligned with the real demands and season of your life?
Check all that apply.
Which better describes you in relation to how you approach whatever’s upcoming in your life?
I feel behind
I feel on-track
Which best describes you?
Buried
Harried
Busy
Focused
How many of your daily tasks relate to your goals?
None
Few
Some
Most
Describe your feeling about breaking down big goals and projects into smaller projects and tasks.
It’s impossible
It’s challenging
It’s doable
It’s easy-peasy
Do you struggle with procrastination?
Yes, all the time
No, not really
Which of these two options is more true of you?
Other people control my time
I control my own time
Which best describes you?
Reactive
Proactive
Which best describes you?
Hurried
Unhurried
How do you feel right now?
My hair’s on fire
I’m running hard but in the right direction
I’ve got it all under control
Which is most true of you?
I’m always dropping balls
I’m okay at keeping track of things
I’m on top of it
Which best describes you?
I have no real system for keeping track of my tasks
I have a system, but it doesn’t work well
I have a pretty good system, but I struggle to use it enough
I have an amazing system and rely on it every day
Which best describes you?
Scattered
Composed
Which best describes you?
Spinning wheels
Three steps forward, two step back
Continual progress
Which adjective best describes you?
Stuck
Progressing
Which adjective best describes you?
Powerless
Helpless
Capable
Resourceful
Which adjective best describes you?
Defeated
Pessimistic
Positive
Excited
How confident do you currently feel about designing your year, staying focused, tackling your priorities, and achieving what matters most?
Terrible
Okay
Great
Amazing
Phone
This field is for validation purposes and should be left unchanged.