On a scale of 1 to 7 (highest) rate yourself on how much you struggle with each of these issues:___ Fear of failure
___ Fear of success
___ Fear of public speaking
___ Procrastination
___ Negative self-image
___ Perfectionism
___ Organizational skills
___ Time management skills
___ Stagnation in comfort zones or habits
___ Assertiveness
___ Anger
___ Grief 
___ Confusion
___ Integrating work & home life 
___ Life purpose
___ Relationship with self
___ Relationship with others
___ Relationship with money
___ = TOTAL

If your score is over 51 or any one score is over “4” you would likely experience personal and/or professional growth by working with a coach, advisor, mentor, or other professional who can help see how these items work together or can help you sort out the key “leverage points” here or help relieve the worse “pain points.”