Check the box if true:

1. I feel as though I want to go further and have maxed out my current resources.
2. I am willing to explore my potential and begin thinking beyond coping to hoping.
3. I am willing to restructure my life, if necessary, to achieve my goals and dreams.
4. I want to live well with vision for myself and for my family.
5. I am willing to do something different to operate at the leading edge.
6. I am willing to accept another person’s insight, encouragement, and feedback so that I can advance beyond what I ever dreamed.
7. I feel the need for something new in my challenging life.
8. I have a challenge with life/work balance.
9. I feel stuck or stagnated.
10. I have a lot of good ideas, but am not able to do anything with them.

Scoring Grid:
2 or less true right now Congrats and keep it up!
3 – 4 true right now Would benefit from working with a coach
5 – 6 true right now Consider coaching soon
7 – 8 true right now When can you get started?
9 - 10 true right now Call 911 or Click here to set up an immediate appointment!

—adapted from materials developed by Linda Miller, MCC and Jane Creswell, MCC for Western Seminary