1 – Definitely disagree
2 – Mostly disagree
3 – Somewhat disagree
4 – Somewhat agree
5 – Mostly agree
6 – Definitely agree
¹
1
2
3
4
5
6
1
I know how to change specific things that I want to change in my life.
2
I have a good sense of where I am headed in my life.
3
If I want to change something in my life, I initiate the transition process.
4
I can choose the role that I want to have in a group.
5
I know what I need to do to get started toward reaching my goals.
6
I have a specific action plan to help me reach my goals.
7
I take charge of my life.
8
I know what my unique contribution to the world might be.
9
I have a plan for making my life more balanced.
The presented answer sheet is not an original form and is not intended for printing or use as a handout.
The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.