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The Individual Balance Sheet (Short Form)
© 2002 by Sharon Seivert

 

Directions: The sample questions from the Individual Balance Sheet can help you reflect on your "balance" in each of five key components of your life. Use a blank sheet of paper or print this page to complete this quiz. Write a number from ten (strongly agree) to one (strongly disagree) to indicate the extent to which that statement is true or not true of you.

 

10 9 8 7 6 5 4 3 2 1
Strongly
Agree		 <-------------------------------------------------------> Strongly
Disagree

 

1. ____

I feel calm, steady, sure of myself most of the time.
2. ____ Others would describe me as both positive and realistic.
3. ____ It's easy for me to access and clearly express what I am thinking or feeling.
4. ____ I work hard and enjoy what I do.
5. ____ I have a strong code of personal values that guide my behavior and decision-making.
6. ____ I have a strong sense of personal mission and a burning desire to make something of myself.
7. ____ My friends, family and colleagues would say that I am solid, dependable, reliable.
8. ____ People describe me as compassionate and empathetic (pay appropriate attention to how they feel).
9. ____ I have good habits that help me more efficiently manage my personal, home, and work time.
10. ____

I know that my thoughts filter my current reality and help create my future.


Score The Balance Sheet