This assessment will help us determine if our wellness program aligns with your current needs and readiness for personal growth. Answer the following questions honestly to evaluate your mindset, commitment, and ability to engage in meaningful change.
Let's begin
This section assesses your openness to self-reflection and emotional responsibility.
Question 2 of 32
I am open to self-reflection and examining my thoughts, behaviors, and emotions.
Yes, I actively reflect on my actions.
Sometimes, but I avoid difficult emotions.
No, I don’t see the need for self-reflection.
Question 3 of 32
I acknowledge that my past experiences may influence my current challenges.
Maybe, but I don’t think they affect me much.
No, the past has nothing to do with my present.
Yes, and I am willing to explore how.
Question 4 of 32
I am willing to take responsibility for my actions and their impact on my relationships.
Yes, I accept accountability.
No, most problems are caused by others.
Only if others do the same.
Question 5 of 32
I understand that personal growth requires effort and a willingness to change.
I am ready to do the work.
I think change happens naturally.
People don’t really change.
Question 6 of 32
I can recognize my emotional triggers and work toward managing them.
I react without thinking.
I know I have triggers, but I don’t know how to manage them.
I am aware of my triggers and working on them.
This section evaluates your readiness to embrace change and focus on constructive actions.
Question 8 of 32
I am more interested in finding solutions than dwelling on past problems.
I focus on solutions.
The past still affects me.
I need to process the past first.
Question 9 of 32
I believe that making small changes can lead to bigger improvements over time.
It depends on the situation.
Yes, small steps create progress.
Change needs to be big and immediate.
Question 10 of 32
I am willing to step outside my comfort zone to improve my relationships and well-being.
Growth happens outside my comfort zone.
I prefer to stay where I feel safe.
Change is too uncomfortable.
Question 11 of 32
I am prepared to engage in coaching strategies even if they challenge my current beliefs.
I am open to new perspectives.
Only if they align with my views.
I prefer to stick to what I already believe.
Question 12 of 32
I am willing to set goals and take actionable steps to achieve them.
I don’t like setting goals.
I have goals but struggle to take action.
I like setting and achieving goals.
This section measures your ability to be proactive and accountable in your journey.
Question 14 of 32
I am open to feedback and willing to adjust my approach when needed.
Feedback makes me defensive.
I listen but don’t always act on feedback.
I value constructive feedback.
Question 15 of 32
I take ownership of my emotions rather than blaming others for how I feel.
My emotions are my responsibility.
Others do affect my emotions.
People are responsible for how they make me feel.
Question 16 of 32
I understand that changing my mindset can help improve my situation.
Mindset plays a key role.
External factors are more important.
Mindset doesn’t change anything.
Question 17 of 32
I can commit to attending all program sessions and completing assignments.
Depending on my schedule.
I am committed.
I struggle with consistency.
This section assesses how well you manage emotions and express yourself constructively.
Question 19 of 32
I can express my thoughts and feelings clearly and respectfully.
Yes, I communicate effectively.
I try, but it doesn’t always come out right.
I struggle to communicate my emotions.
Question 20 of 32
I handle stress and conflict in a constructive way.
I use healthy coping strategies.
Stress and conflict overwhelm me.
I try, but sometimes I react emotionally.
Question 21 of 32
I recognize that relationships require effort and compromise.
Only if the other person also makes an effort.
Relationships should be effortless.
I understand the give-and-take.
Question 22 of 32
I can listen to differing opinions without becoming defensive.
I stay open-minded.
I get defensive sometimes.
I get upset when people disagree with me.
Question 23 of 32
I am willing to let go of resentment and focus on moving forward.
Some things are unforgivable.
I focus on growth and healing.
I try, but I still hold grudges.
This section gauges your readiness to engage in structured activities and challenge limiting beliefs.
Question 25 of 32
I am ready to put in the time and effort to work on myself.
I am fully committed.
I want to, but I’m not sure I have the time.
I don’t think it’s the right time.
Question 26 of 32
I believe that I have the power to improve my own life.
I take responsibility for my growth.
Things just happen to me.
Outside factors play a big role.
Question 27 of 32
I understand that coaching is about self-improvement, not fixing others.
I need others to change first.
I am focused on my own growth.
I want coaching to help with my relationships.
Question 28 of 32
I am comfortable with structured activities, discussions, and self-reflection.
I am open to all aspects of the program.
I prefer a less structured approach.
I dislike structured programs.
Question 29 of 32
I am prepared to challenge my current habits and beliefs to grow.
Yes, I welcome change.
I am hesitant but willing to try.
I am comfortable as I am.
Understanding your previous experiences with therapy and your reasons for seeking this program helps ensure the right fit for your needs and goals.
Question 31 of 32
Have you previously participated in therapy or counseling? If so, what was your experience like, and what did you find most helpful or challenging about it?
Question 32 of 32
What specific challenges or goals are leading you to seek enrollment in an EeKram Health program, and what do you hope to achieve through this experience?