Wellness
Self-Rating
Assessment

ASSESSMENT & DISCOVERY TOOLS

Rate eight life dimensions on a 1-10 scale
and identify where to focus next.

Where This Tool Helps

This assessment does something the wheel diagram cannot: it pairs a numeric rating with a written response. The rating tells you where you are. The reflection questions tell you what to do about it.

The eight dimensions here — Physical, Mental, Home, Relationships, Spirituality, Recreation, Career, Finances — cover territory that leaders frequently partition. Career and Finances receive attention. Physical, Recreation, and Spirituality are often last on the list. The pattern matters less than the degree: a Recreation score of 4 that has stayed at 4 for two years is different from one that has dropped recently. Current number plus direction is more informative than current number alone.

The reflection questions at the end of this worksheet push past the ratings toward action. A completed rating without a response to "what actions will you take in the next 3-6 months?" is a diagnosis without a plan.

How to Use This Assessment

  1. Rate each dimension from 1-10 based on your current experience, not your ideal or your past.
  2. Complete all eight ratings before reading the reflection questions. Do not let the questions shape your ratings.
  3. For the reflection questions, write specific responses — not "focus on health" but "walk 30 minutes three times a week."
  4. The 3-6 month timeframe in the final question is deliberate. Short enough to be real, long enough to make visible progress.

Wellness Self-Rating Assessment

Rate each dimension from 1 (low) to 10 (high).

Physical
1
2
3
4
5
6
7
8
9
10
Mental
1
2
3
4
5
6
7
8
9
10
Home
1
2
3
4
5
6
7
8
9
10
Relationships
1
2
3
4
5
6
7
8
9
10
Spirituality
1
2
3
4
5
6
7
8
9
10
Recreation
1
2
3
4
5
6
7
8
9
10
Career
1
2
3
4
5
6
7
8
9
10
Finances
1
2
3
4
5
6
7
8
9
10
Which areas are you focusing on improving?
When you envision fulfilment, what do you visualise?
What types of activities will make you feel more fulfilled?
What actions will you take in the next 3-6 months?
Before your next session

Tandem Coaching Partners

Credentialed coaches with real-world leadership experience,
partnering with executives and organizations
to unlock sustainable growth.

Consultation

tandemcoach.co/
contact-us

Email

info@tandemcoach.co

Phone

855 51 COACH

Challenge your thinking.
Discover your capabilities.
Act on them.

Dallas, TX  |  Houston, TX  |  Worldwide Virtual