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What’s the one thing you already know you need to do — but still haven’t?

Take this 10-Minute Self-Leadership Assessment

1) When growing up, how often did you feel emotionally safe and understood by your parent(s)/carer(s)?

1) When growing up, how often did you feel emotionally safe and understood by your parent(s)/carer(s)?
A
B
C
D
E

2) Today, how often do you still doubt your worth, even when things go well?

2) Today, how often do you still doubt your worth, even when things go well?
A
B
C
D
E

3) Do you find yourself taking responsibility for other people’s emotions (for example: guilt, people-pleasing, or trying to fix others)?

3) Do you find yourself taking responsibility for other people’s emotions (for example: guilt, people-pleasing, or trying to fix others)?
A
B
C
D
E

4) When you think about your childhood, what emotion arises first?

4) When you think about your childhood, what emotion arises first?
A
B
C
D
E
F
G
H

5) How much do you recognise patterns from your childhood repeating in your adult relationships?

5) How much do you recognise patterns from your childhood repeating in your adult relationships?
A
B
C
D
E

6) How emotionally exhausted do you feel trying to “hold it all together”?

6) How emotionally exhausted do you feel trying to “hold it all together”?
A
B
C
D
E

7) What is your current relationship status?

7) What is your current relationship status?
A
B
C
D
E

8) How would you rate the quality of your relationships overall? (this includes colleagues, partnership/s, close friends, family and any other inner circles)

8) How would you rate the quality of your relationships overall? (this includes colleagues, partnership/s, close friends, family and any other inner circles)

9) What impact have these had on your life? (None / Some / A lot)

None
Some
A lot
Self-worth
Self-sabotage
Perfectionism
Procrastination
Boundaries
People-pleasing
Trusting others
Sleep quality
Body Image
Eating Problems
Stress
Anxiety
Depression
Fears/ Panic Attacks/ Phobias
Guilt/ Shame
OCD
ADHD
Addiction

10) What health concerns have you experienced? Please include anything relevant such as: current or past health issues, medications or supplements OR use of plant medicines or psychedelics (optional)

11) How has this emotional pattern affected your life?
(For example: work, relationships, health, or daily peace.)

12) How ready are you to stop 'coping' and start 'living' differently?(1 = I'm not ready, 3 = I'm torn, I want it but I’m not sure I can do it alone, 5 = I'm ready to commit)

12) How ready are you to stop 'coping' and start 'living' differently?(1 = I'm not ready, 3 = I'm torn, I want it but I’m not sure I can do it alone, 5 = I'm ready to commit)

13) If nothing changes in the next year, what’s most at risk for you?

13) If nothing changes in the next year, what’s most at risk for you?
A
B
C
D
E
F
G

14) How much emotional and financial commitment are you willing to make to feel truly free of your past?

14) How much emotional and financial commitment are you willing to make to feel truly free of your past?
A
B
C
D

15) What kind of support have you tried before — therapy, coaching, or otherwise — and which part of you (if any) still feels unseen, unsupported, or stuck?

16) When you think about investing in yourself, what comes up first?

16) When you think about investing in yourself, what comes up first?
A
B
C
D
E
F
G

17) How soon would you like to see a change in how you feel day to day?

17) How soon would you like to see a change in how you feel day to day?
A
B
C
D
E
F

18) If you had the right guidance, what would “living, not coping” look like for you? (Describe your ideal version of peace, confidence, freedom, lifestyle, etc)

19) What else might you want to share that feels important for me to know about your unique background, goals, or the support you’re seeking?

20) What's your first name?

21) What's your email address?

22) What's your phone number?

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