LIFE LAB™ CLARITY ASSESSMENT

This assessment is designed to help you identify the areas of your life that may need the most attention, clarity, and intentional growth.

Please answer each question based on your current experience, not who you want to be.

There are no right or wrong answers.

First name

Last name

Email

Phone

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Section 1 Current Experience

Which Statement best describes how you feel right now?

I feel overwhelmed by life.

I feel stuck and unsure what to do next

I feel frustrated in my relationships

I feel emotionally exhausted

I feel disconnected from myself

I feel like I have outgrown my current life

I dont know what's wrong with, but something needs to change

How would you rate your current stress level? 1-5 scale

Section 2 Emotional Awareness

I can clearly identify what I am feeling

1 Stongly Agree

2 I Often Feel Overwhelmed

3 I Suppress What Feel until it builds up

4 I notice when stress is affecting ny behavior

5 I understand what usually triggers me

Section 3 Thougth Patterns

Section 4 Relationships

Section 5 Boundaries

Section 6 Identity & Direction

Section 7 Behavioral Patterns

Which Patterns sound familiar?

I repeat the same relationship cycles

I start things but struggle to follow through

I avoid difficult conversations

I overcommit and feel overwhelmed

I people please and later feel resentment

I shut down when stressed

I try to control situations to feel stable

I second guess myself often

I feel stuck in transition

Section 8 Stress Response

Section 9 Readiness

I know I need help but dont know where to start

I am aware of my issues but struggle to change them

I am ready to actively work on myself

I want structure guidance and accountability.

I've tried many things and need a new approach

Are you willing to complete reflection work between sessions?

Yes

No

Section 10 Future Focus

What would you most like to change in the next 90 days?

What kind of support do you feel you need most? (emotional, clarity & direction, relationship guidance, confidence building, mindset work, boundaries, Stress Management, Im not sure)

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Date and time