Heart & Soul Expressions
Transformation Life Coaching to assist you in clarifying your direction
in life, achieving your goals and reaching your dreams!
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Rate Your Life
Please Copy and Paste the following form into your word program and discover for
yourself the area of your life you are ready to transform.
Section 1 - RATE YOUR LIFE:
1. How would you rate your life out of 10 (10 being you can't imagine it could possibly be any better) in
the following areas?
-Health & Peace
-Money
-Career/Own Business
Special Relationship Family & Friends Other:
2. Given these scores, which 2-3 areas are you willing to improve over the next 6 months to make the
biggest difference to your life? (Maximum Three)
Health & Peace
Money
Career/Own Business
Special Relationship Family & Friends Other:
3. What three things are you most tolerating or putting up with in your life?
a)
b)
c)
4. What three things are you most loving in your life?
a)
b)
c)
5. If you could have more of ONE thing in your life right now, what would it be?
Section 2 - CREATE YOUR GOALS
6. Create 2-3 goals which would make a BIG difference to your life. Choose goals which would put a big
smile on your face, and be achievable within 6 months.
Goal Achieve By
a) January February March April May June July August September October November December 1 2
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012
2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
b) January February March April May June July August September October November December 1 2
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012
2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
c) January February March April May June July August September October November December 1 2
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012
2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
7. Imagine 6 months have passed, and you've done it! You have achieved each of these goals. Write
down how you would feel having achieved each of these.
Goal I would feel...
a)
b)
c)
(Hint: If you wouldn't feel wonderful about each of these, then you might like to go back to Step 6) and
choose bigger or smarter goals)
Section 3 - SHOOTING YOURSELF IN THE FOOT
8.
a) Assuming all human beings have some way of holding back or sabotaging their life, which is your
favourite method (choose one only)?
Procrastination
Indecisive
Arrogant/ being right
Acting as "Lone Ranger" Tolerating Not saying "No"
Controlling life /people Not saying "Yes" Following secondary goals (i.e. goals that won't ultimately
make me happy)
Not always telling absolute truth Other:
b) When you notice yourself doing this behaviour (sabotage), what will you now do instead (i.e. what
behaviour will you replace it with?)
Section 4 - COACHING
9. Goals are much easier to achieve when you have a support structure in place. Which support
structure(s) will you put in place this week to make these goals fun and easy? (Max 3)
Motivating display where I can see it often (e.g. put my Free Goals Report up in the bathroom).
Enroll in a (training) course. (e.g. painting course).
Enroll a buddy to go for the same goal(s). Tell 3-10 friends of my commitment, and how they can
support me (e.g. call me every couple of weeks to ask how it's going).
Join a club/hang out with people sharing the same goal(s). (e.g. join a gym, hiking club). Set up a 1-6
month coaching structure with a good coach.
Other Support Structure:
10.
a) If you had your own coach, what would you probably get from the coaching that would be most
valuable to you? (3 maximum)
Challenge
Accountability
Focus
Support
Inspiration Direction Sounding Board Ideas/ Strategies
Validation
b) If you ever decided to work with a coach, what would probably be the best time for you to start?
Within the next 10 days
Within the next 30 days
Within the next 3 months
Within the next 12 months
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