Self-Assessment Checklist

    Full Name

    Email Address

    Phone Number

    Add a number beside each category to indicate the priority. Starting with and using one as the highest priority. Six would be the lowest priority.

    Health & Fitness

    Family and Friends

    Business / Career

    Romance

    Spiritual

    Finance

    Next, rate your satisfaction with each major life area from 5 to 1.

    5. Couldn’t be any better.
    4. Very Satisfied.
    3. Satisfied.
    2. Somewhat dis-satisfied.
    1. Need to improve.

    Health & Fitness

    Family and Friends

    Business / Career

    Romance

    Spiritual

    Finance

    Feel free to add comments that you think would be helpful. Email your self-assessment to TH or bring a printed hardcopy to our office for a free half hour no obligation consultation.

    You now have taken an important yet very simple first step toward self-improvement. You have given some thought as to what areas of your life are the priorities and what area(s) of your life needs improvement. This should give you some clarity needed to begin your journey toward a better life.

    Sincerely,
    Transformational Hypnotherapy Inc.

    Recent Posts

    Contact Us

      Your Name (required)

      Your Email Address

      Your Phone Number

      Your Message