Neurofocus
Follow us on
Coaching Home
Blog
Forum
Services
How Coaching Works
Booking
Contact Us
Downloads
Preparation Questionnaire
Personal Checklist
Executive Intake form
×
contact me
"It is never too late to be what you might have been."
- George Eliot
Personal Checklist
Name
*
First
Last
Email
*
Time Management/Organisation
I manage my time well
*
True
False
I delegate without guilt
*
True
False
I spend appropriate time on the important/non-urgent tasks
*
True
False
I set my priorities according to organisation and personal goals
*
True
False
I do not have a backlog of work
*
True
False
My desk is uncluttered
*
True
False
I am always on time for work and other commitments
*
True
False
I manage information and paper efficiently
*
True
False
I do not over commit
*
True
False
I set realistic time frames
*
True
False
Performance
I have had the training to do my job well
*
True
False
I am proud of the quality of work I produce
*
True
False
I am satisfied with my level of productivity
*
True
False
I am confident in my ability to perform my role to the highest standard
*
True
False
I am innovative and creative in my approach to work
*
True
False
Personal
I like myself
*
True
False
I have had a birthday party in the last three years
*
True
False
I have a life outside of my work
*
True
False
I have enough confidence to do what I want in life
*
True
False
I have adequate holidays each year
*
True
False
I don’t lie or exaggerate
*
True
False
I am comfortable saying ‘no’ when I need to
*
True
False
People know they can count on me to do what I say I will do
*
True
False
I can easily recall the last time I really laughed
*
True
False
I have a form of creative expression
*
True
False
Home environment
I am happy with my home
*
True
False
My home is generally clean and tidy
*
True
False
I surround myself with things that I love
*
True
False
I don’t acquire clutter
*
True
False
I recycle at home
*
True
False
My personal files are in order
*
True
False
My bed supports me having a good sleep
*
True
False
I have photos of loved ones on display
*
True
False
I am happy with my mode of transport
*
True
False
Work
My work stimulates me
*
True
False
I am proud of what I do for a living
*
True
False
I feel appreciated in my workplace
*
True
False
I respect the people I work with
*
True
False
I know where my career is heading
*
True
False
I complete my work within reasonable hours
*
True
False
Work Relationships
I acknowledge others everyday
*
True
False
I have a good working relationship with others
*
True
False
I have a good working relationship with my manager
*
True
False
I am trusted in the workplace
*
True
False
I am a good listener
*
True
False
I communicate clearly at work
*
True
False
I feel confident in my dealings with others in the workplace
*
True
False
I work in a collaborative way and find ways to contribute to others
*
True
False
Health
I am happy with my current weight
*
True
False
I do some form of exercise at least three times a week
*
True
False
I have a balanced diet including lots of fresh food
*
True
False
I don’t smoke or drink alcohol excessively
*
True
False
I am up to date with all necessary medical and dental checkups
*
True
False
I am happy with the sleep I get
*
True
False
I have appropriate clothes for my work and personal interests
*
True
False
I am not concerned about my stress levels
*
True
False
I feel generally well
*
True
False
Finances
I have a budget that I use
*
True
False
I pay my bills on time
*
True
False
I know how much I owe and when it will be paid off
*
True
False
I have an active long-term financial plan
*
True
False
I am able to reward myself without feeling guilty
*
True
False
I use my credit card wisely
*
True
False
I have a will
*
True
False
My wallet is uncluttered
*
True
False
My tax affairs are up to date
*
True
False
Relationships
I am happy with the level of intimacy in my life
*
True
False
My partner and I respect each other and are equals
*
True
False
I make amends easily with people I have had conflicts with
*
True
False
I trust the significant people in my life
*
True
False
I am on good speaking terms with my neighbours
*
True
False
I consider myself to be a good friend
*
True
False
I see people who are important to me regularly
*
True
False
My friends and family know how much I care about them
*
True
False
I am satisfied with my social life
*
True
False
Submit