check

Goal Setting Assessment

Are you clear on what you want and why you want it? 

Take this quiz, answer honestly, and find out more clearly what is causing your heart to reach out for solutions to help you reach your goals! 

Answer the questions and be as honest as you can be with both yourself and me.

These answers are only between you and me (Coach Kristen)

These answers are mostly for YOU.   

Connecting with our WHY and seeing what we are willing to do to get what we want is a powerful mental and emotional tool to spur us into action. 

Take this quiz and learn more about what your heart and soul is asking for! 

 

Click the button below to start.

Start

Question 1 of 27

Please email my results to me at the following email address: 

Question 2 of 27

I Have Previously Struggled With

(Select all that apply)
A

Binge-Eating (binge defined as overeating a food or foods)

B

Yo-Yo Dieting

C

Body Image Issues

D

Hyper-Restriction of Foods

E

Over-Exercising

F

Nutrition Confusion - Not Knowing How to Eat

Question 3 of 27

My Most Important Goal Is

A

Lose Weight

B

Change Body Composition

C

Learn How to Eat Better

D

Stop Bingeing on Certain Foods

E

Change My Mindset

Question 4 of 27

My 2nd Most Important Goal is 

A

Lose Weight

B

Change Body Composition

C

Learn How to Eat Better

D

Stop Bingeing on Certain Foods

E

Change My Mindset

Question 5 of 27

My 3rd Most Important Goal Is

A

Lose Weight

B

Change Body Composition

C

Learn How to Eat Better

D

Stop Bingeing on Certain Foods

E

Change My Mindset

Question 6 of 27

Any Other Goals You're Chasing Not Listed? 

Question 7 of 27

If you have a weight loss goal, how much weight do you wish to lose? 

A

1-10 Pounds

B

11-15 Pounds

C

16 Pounds +

D

I don't have a number in mind

E

No Weight Loss Goal

Question 8 of 27

Foods/Food Behaviors I Struggle With 

(Select all that apply)
A

Sweets

B

Salty Snacks

C

Portion Control

D

Night Eating

E

Boredom/Emotional Eating

F

Social Eating/Restaurants

Question 9 of 27

Any Foods/Food Behaviors Not Listed? 

Question 10 of 27

What Have You Tried in the Past? 

(Select all that apply)
A

Weight Watchers

B

Noom

C

Keto Diet

D

Paleo/Grain Free

E

Calorie Counting/Tracking

F

Macro-Tracking

G

HCG Diet

H

Weight Loss Surgery

I

Other - Anything I've Tried it All

Question 11 of 27

Why Have These Diets Failed? 

(Select all that apply)
A

Didn't Fit My Lifestyle

B

Made Me Sick

C

Worked for a While and Then Stalled

D

It was Too Much Work

E

I Lost Interest

F

I Missed Certain Foods

G

I Hated It

H

I Lost Motivation

Question 12 of 27

What has worked the best and why? 

Question 13 of 27

What are you willing to do to reach your goals? 

(Select all that apply)
A

Track Food Consumption

B

Implement or Increase Exercise

C

Read Materials/Educate Yourself More

D

Food Prep/Cook at Home More

E

Set Aside Time Daily and Weekly for Myself

F

Explore My Relationship with Myself

Question 14 of 27

What are you NOT willing to do in order to reach your goals? 

(Some of us know what does NOT work for us and THAT IS OKAY!)

Question 15 of 27

Write a brief description of how it will feel to reach your goals.

 

Question 16 of 27

Write a brief description of what will happen if you do nothing at all and continue on the current path you're on. 

Question 17 of 27

How Confident Are You that You Can Reach Your Goals? 

A

I Have No Idea

B

Fairly Confident

C

Pretty Darn Confident

D

TOTALLY CONFIDENT

Question 18 of 27

What COULD keep you from reaching your goals? 

Question 19 of 27

What are things you can do that will help you reach your goals?

Question 20 of 27

If you're not 100% Confident...what WOULD make you 100% Confident? 

Question 21 of 27

Is there anything else you want me to know about you? Tell me! 

Question 22 of 27

Write a brief letter to yourself, explaining why your goals are important and why you want to achieve them. 

Question 23 of 27

If I could buy a magic wand that would allow me to reach my goals overnight, I would pay

A

$100

B

$500

C

$750

D

$1,000

E

Over $1,000

F

Anything - reaching my goals is priceless.

Question 24 of 27

I want to reach my goals and I want your help. Therefore I:

(Select all that apply)
A

Want to join your group mindset retraining program

B

Want to schedule an individual coaching session with you to change my mindset.

C

Want to sign up for a a customized diet and exercise program.

D

Want to learn more about which programs you offer will work for me.

E

Do not want any help, thanks.

Question 25 of 27

I am

(Select all that apply)
A

Worth investing in and want to start now

B

Not worth investing in

C

Worth investing in but have nothing to invest right now.

D

Worth investing in but I am choosing something else to help me.

Question 26 of 27

I want you to contact me. The best way to do so is: 

(Select all that apply)
A

Email

B

Text Message

C

Phone Call

D

Do not contact me

New Question

Confirm and Submit