Wheel of Life Questionnaire
This is your wheel of life questionnaire. It is a great tool to help you see which areas of your life are thriving, and which ones need attention. I look forward to working with you, and seeing you reach your goals and soar the heights you've set for yourself!  

In all of these questions, 1 signifies the lowest score, while 5 is the highest score. But none is bad, or good. It is an assessment that you should take without ascribing labels on the results.
Sign in to Google to save your progress. Learn more
Email *
Input your First and Last Names *
These questions will help rate your level of satisfaction with your CAREER, MONEY, HEALTH, SIGNIFICANT OTHER/ RELATIONSHIP, FRIENDS AND FAMILY, PERSONAL GROWTH, FUN & RECREATION and PHYSICAL ENVIRONMENT. Remember that 1 signifies the lowest score, which shows there is tremendous room for growth while 5 is the highest positive score, which means you are doing better than the average person. *
1
2
3
4
5
Is my job rewarding?
Does it reflect my values?
Do I have opportunity for advancement?
Do I earn enough and live within my means?
Do I save enough?
Am I planning for financial freedom?
Am I generally fit and well?
Do I eat healthily?
Do I exercise regularly?
Do I want a great relationship?
Do I know the values I would like to share with my future partner ?
Am I willing to nurtue the relationship we will have with each other?
Do I have a close circle of friends?
Do I spend enough time with family and friends?
Do I value the relationship we have with each other?
Am I continually learning new things?
Do I enjoy new opportunities for growth?
Are the things I do growing me as a person?
Do I often partake in wholesome fun activities?
Do I take the time to relax and recharge before I am depleted?
Do I have sports or hobbies that I enjoy?
Do I like the area in which I live?
Is my home comfortable, tidy and warm?
Do I keep my appearance smart?
What was the dominant feeling you experienced as you ticked most of these questions? It could be excitement, overwhelm, dread, a sense of clarity etc. Even though they are not facts, feelings can help us access our thoughts about the assessment you just made on your life. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy