MASTER

On a scale of 1-10 please rate how satisfied you are with each area in your
CURRENT Current Also, on a scale of 1-10 rate how motivated you are to work on each area a
Level of Level of CATEGORY
Satis- Motivation
Faction
ADDICTIONS i.e., food, sex, romance, relationships,
BALANCE How well your schedule reflects your v
BOUNDARIES i.e., Letting others know what your bo
CHORES i.e., groceries, cleaning, cooking, laun
CHRISTIAN WALK i.e., communicating with God, reading
CHURCH LIFE i.e., worship service, small group, adu
CURRENT FAMILY Relationships with the people you live
EMOTIONAL HEALTH i.e., depression, anger, anxiety, fear, i
FAMILY OF ORIGIN Relationships with the people you grew
FINANCES i.e., cash flow, financial stability, plann
FRIENDS i.e., how many, the right kind, how clo
HOBBIES Any activity or interest that you seriou
HYGEINE i.e., cleanliness and appearance
IDENTITY Knowing your personality, passions, va
JOB i.e., compensation, morale, fit, co-wor
MARRIAGE & ROMANCE i.e., dating, boyfriend/girlfriend, spous
MATURITY i.e,. decision-making, relationships, ha
MENTAL HEALTH How well your brain is functioning, i.e.
ORGANIZATION i.e., time, tasks, information, things
PACE OF LIFE How many things packed into the sche
PERSONAL GROWTH Investing in things to help you grow an
PHYSICAL HEALTH i.e., healthy food, exercise, diseases, w
PRIORITIES i.e, placing the right amount of effort a
PURPOSE & MISSION How well you are aware of, and fulfillin
RELATIONSHIPS Anyone other than people you have ev
RELAXATION & RECREATION Anything that helps you unwind, relax
SEXUALITY i.e., frequency, enjoyment, attitude, lo
STUDY/LEARNING Anything that stimulates your mind an
SUPPORTS i.e., small group, close friends, recove
SURROUNDINGS i.e., work, home, bed, bath, study, kitc

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ith each area in your life, 10 being the most satisfied.

work on each area at this point in time, with 10 being the most motivated.

mance, relationships, work, spending, gambling, religion, co-dependency, drugs, alcohol, caffeine, nico
edule reflects your values.
know what your boundaries are and enforcing them, confronting difficult relational issues directly, res
aning, cooking, laundry, picking up, shopping, car, dishes, paperwork, transporting, appointments, yar
ng with God, reading and studying, fellowship, sharing faith, obedience and surrender, trust, worhsip, c
ce, small group, adult programs, kid's programs, pastor, staff, serving, learning, growth, fellowship
the people you live with now
nger, anxiety, fear, insecurity, self-esteem, guilt feelings, sensitivity, serenity, PTSD, trauma
the people you grew up with, but don't live with anymore (include ex-spouse)
ancial stability, planning/budgeting, tracking expenses, savings, giving, investing, retirement, paying b
e right kind, how close, conflicts, support, how much time
erest that you seriously pursue outside of your paid job
nd appearance
sonality, passions, values, preferences, beliefs, mission and purpose, long-term goals, vocation/calling,
n, morale, fit, co-workes, boss, conditions, productivity, stress, meaning
end/girlfriend, spouse
ng, relationships, handling difficulties
in is functioning, i.e., A.D.D., O.C.D., bi-polar, schizophrenia, learning disabilities, memory, understand
nformation, things
packed into the schedule or to-do list
s to help you grow and mature as a person (i.e., reading, growth group, counseling, bible study, coachi
exercise, diseases, weight, vitamins and supplements, blood pressure, cholesterol
ht amount of effort and emphasis in the right place.
aware of, and fulfilling, who God created you to be and what he created you to do
n people you have ever lived with (i.e., relatives, in-laws, friends and aquaintances, neighbors, church,
ps you unwind, relax, enjoy life, regain perspective, and renew your spirit
joyment, attitude, look, performance, partner, abstinence, mutuality, safety, masturbation, appearanc
mulates your mind and helps you learn new things
close friends, recovery or self-help organizations, professional help, pastor
bed, bath, study, kitchen, dining, living, entertaining, hobby, climate, yard, neighborhood, city, region o

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drugs, alcohol, caffeine, nicotine, prescription medication, etc.

relational issues directly, respecting others' boundaries

nsporting, appointments, yardwork, house maintenance
d surrender, trust, worhsip, confession, thanksgiving, serving, intercession, memorization, christ-likene
rning, growth, fellowship

nity, PTSD, trauma

vesting, retirement, paying bills on time

-term goals, vocation/calling, priorities, skills and strengths and talents (those things that define you)

bilities, memory, understanding

unseling, bible study, coaching, 12-step, etc.)

intances, neighbors, church, co-workers)

ty, masturbation, appearance, lust, gender identity, masculinity/femininity, gender orientation, gender

, neighborhood, city, region of country

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n, memorization, christ-likeness

ose things that define you)

y, gender orientation, gender identity

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