The information you provide here will be shared with your Health Stewardship Coach. The goal of this assessment is to help you better understand your own thoughts and motivation and give your coach information that will assist them in supporting you as you work to optimize your personal health.

Name *
Name
Purpose *
I feel a strong sense of purpose in life.
Satisfaction *
I feel a deep satisfaction or joy in my life.
Grateful *
I feel grateful and appreciative for what I have.
Job *
I am satisfied with my job.
Future *
I feel optimistic about the future.
Readiness for Change *
My readiness to make changes or improvements in my life satisfaction is (please mark one):
Confidence *
My confidence in my ability to make a positive change regarding my life satisfaction is:
Priority *
My confidence in my ability to make a positive change regarding my life satisfaction is:
Understanding *
While we never share your information with any 3rd parties, please be advised that the submission and storage of information you provide through this form is not considered secure. Please do not provide any protected health information through this form. If you would prefer to complete a paper version of this form, please contact our office at info@indeedwellness.com.