This questionnaire is to help you focus on specific areas regarding your business and your life.

Instructions:

Please pick the corresponding number, which best represents the importance of each objective in your life. In the right column, fill in what percentage (0%-100%) you are experiencing now. Make sure you fill it out completely and submit the form when finished.

Objective Importance Percentage
Financial prosperity
%
Enjoy clientele
%
Fulfillment in career
%
Satisfying relationships with Business Partner(s)
%
Satisfying relationship with Support Staff
%
Effectiveness of New Business Development
%
Rate of Client Retention
%
Healthy body
%
Satisfying relationship with Spouse/Significant Other
%
Expanding personal development
%
Free from worry
%
Having fun
%