Life Assessment Form Complete this form to help both you and the Life Coach to prepare for the first meeting. Name * First Name Last Name Email * Current Health Situation * Health Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Health Goals: Obstacles * Current Family Situation * Family Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Family Goals: Obstacles * Current Relationship Situation * Relationship Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Relationship Goals: Obstacles * Current Wealth Situation * Wealth Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Wealth Goals: Obstacles * Current Career/Job Situation * Career/Job Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Career/Job Goals: Obstacles * Current Spiritual Growth Situation * Spiritual Growth Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Spiritual Growth Goals: Obstacles * Current Leisure Time Situation * Leisure Time Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Leisure Time Goals: Obstacles * Current Life Fulfilment Situation * Life Fulfilment Goals * Priority * 1 2 3 4 5 6 7 8 9 10 Life Fulfilment Goals: Obstacles * Thank you!