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You can print this form using the button in the right hand corner of the page.
Give each statement below a score from 0 - 10 based on how much you believe each of them to be true.
0 would mean that you don't believe in the statement at all and it is utter nonsense
10 would mean that you believe it is completely true.
| I like myself as a person ___ |
| I am as good as everyone else. ___ |
| When I look in the mirror, I like what I see. ___ |
| I don't feel like an overall failure. ___ |
| I am, happy to be me. ___ |
| I respect myself. ___ |
| I'd rather be me than anyone else. ___ |
| What others say to me has no effect. ___ |
| I enjoy communicating to others. ___ |
| I have the skills and qualities to make myself a success. ___ |
| I like to take risks. ___ |
| I am not afraid to make mistakes. ___ |
| I can laugh at myself. ___ |
Add up your score and check your confidence level
| 100-130 |
Well done. You have a high level of confidence and self esteem. You just need to fine tune a couple of areas. I will help you explore any weaknesses that may be present so that you can deal with them and move on.
If you have any dreams or ambitions that you have been putting off then I will help you to turn them into a reality.
Contact me when you are ready and I will help you work things through so that you can start working toward the life you want and deserve.
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| 65-99 |
Quite good. You have a medium to high ranking in confidence and self esteem. Although you are okay most of the time, there are times when you can feel rock bottom.
You need to experience having higher confidence levels more frequently. Together we can look at your thoughts and feelings and see exactly where things are not as they could be.
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| 30-64 |
Improvement is needed. You have low levels of confidence and self esteem. Your confidence is lacking in many areas and you need to have an overall confidence building plan.
I will use life coaching techniques to help you address your problem areas and enhance your confidence levels. You will learn quick and practical ways to increase your confidence levels in all areas of your life.
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| 0-29 |
Sadly, you have reached rock bottom and think that everything and everyone is against you. You are stuck in a rut and need to get out of it quick. You probably feel that life is out of your control. You could feel overwhelmed with your circumstances and you may also suffer with tiredness. You have come to the right place.
Contact me and I will help you work through the mine field that you have found yourself in. Together we will address the various issues that are holding you back from being the best that you can be.
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