SAGEWRITERS PERSONAL ASSESSMENT
©Judith Trustone 2006
At least once a week or daily if you can, write out the following in your notebook. Take all the
space you need. Be sure to date each entry.
My goals for this day/week are:
__________________________________________________________
The outcome of my efforts: _______________________________________
__________________________________________________________
This is what worked:
__________________________________________________________
This is what didn’ t work and what I need to re-evaluate:
An area that I need to learn more about to be successful is:
I am taking care of my health by: (diet, vitamins, stress management techniques, medical
appointments, addiction counseling, exercise etc.: ________________________
Right now I am attempting to meet my emotional needs by:
___________________________________________________________
I am meeting my spiritual needs by: __________________________________
I reached beyond my comfort zone to: _________________________________
One positive new thing I learned today/this week is: _______________________
My interpersonal/family relationships are: ______________________________
I plan to improve my family relationships by: _____________________________
I had fun today/this week by: ________________________________________
One kind thing I did for another today/this week is: _________________________
Right now, this is how I feel about myself: ________________________________
I am giving back to the community today/this week by: _______________________
My financial situation is: ____________________________________________
To improve my financial situation, I need to: _______________________________