The New Self-Coaching Book for ADHD Adults
The Disorganized Mind
Coaching your ADHD brain to take control of your tasks, time, and talents
by Nancy A. Ratey, Ed.M, MCC, SCAC
Buy the bookThis questionnaire contains three sets of questions: profile, evaluation, and goals. The questions will help you to evaluate your lifestyle, identify areas needing improvement, and articulate fitting goals.
This worksheet is also available as a PDF file
a. Am I in the job or profession for which my education prepared me? (Am I doing what I was trained to do?}
If not, why?
b. What does it mean to me to have – or have not — taken the path for which I prepared?
c. What do I do well in my job?
d. What specific parts of my job do I actually enjoy?
e. What problems do I experience in my job?
f. Would I choose this job again if I were starting over?
g. How much of my job do I have to “bring home”?
h. What words best describe how I feel when I think about my job?
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a. How much sleep do I generally get?
b. Do I sleep without interruption?
c. When I wake up, do I feel rested?
d. Do I eat three meals a day regularly?
e. How much attention do I pay to nutrition?
f. Do I limit calories, fat, sodium etc. in my food?
g. Is my weight under control?
h. What medications do I regularly take?
i. Do I exercise on a regular basis?
j. Do I limit my alcohol consumption?
k. Have I stopped smoking? (Or have I never started?)
l. Am I happy with the state of my present physical health?
a. How often do I see my friends?
b. Do my friends and acquaintances “lift me up,” or do they “drag me down?”
c. How often do I have fun?
d. What do I enjoy doing beyond work?
e. What am I good at beyond work?
a. How important to me is being part of a religious community like a church or synagogue?
b. How often do I attend services?
c. Is being spiritual, rather than religious, important to me?
d. How often do I pray or meditate?
e. When do I feel most at peace?
f. What makes me feel a sense of gratitude?
g. What makes me feel fulfilled?
h. What stressors are present in my life?
i. Who are the people in my support network?
j. How often do I interact with those in my support network?
k. What do I do for myself only?
l. What do I value most in life?
m. What do I do to honor those values?
a. How financially secure do I feel? ________________
b. How often do I worry about money? ________________
c. Have I saved enough for emergencies? ________________
d. Do I have long-term investments? ________________
e. Do I have adequate health/home/life insurance? ________________
f. Am I living within my means? ________________
g. How do I generally regard the concept of debt? ________________
h. What do I consider important enough to incur debt for? ________________
i. How manageable is my current debt? ________________
a. What quality time am I spending with my spouse or partner?
b. Is that time sufficient?
c. What quality time am I spending with my children?
d. Is it enough? __________________________________________________
e. How involved am I in my children’s/ spouse’s/ partner’s activities?
f. How important are my individual needs to my family?
g. How am I handling my share of upkeep responsibilities?
h. How active am I in my community?
i. How do I feel about the area where I live?
j. How does my home reflect who I am?
Read over the responses you gave to the questions in Set #1. Take enough time to think about what you wrote. What profile of you emerges? With that picture in mind, it’s time to answer a few more questions:
Having evaluated and reflected on aspects of your lifestyle, the final step in this preliminary self-assessment process will be to identify goals. Select the goals based on desired changes that will help you achieve balance and align your actions with your values.
a. Where do I want to be in 1 month?
In 3 months?
In 6 months?
b. What do I have to do daily to get there?
c. What things do I want to work on now?