NOTE: Please Complete Entire Form Since It Cannot Be Saved.


  ELEMENT YES or NO
1. Fear sometimes prevents me from doing the things I know I want do to grow my business.
2. I am usually reluctant to call people in my Sphere of Influence, so I usually don't do it
3. I am not exactly sure what I am afraid of, but I know I am sometimes fearful.
4. I am usually afraid of failure (or success).
5. I am typically afraid of being rejected.
6. My beliefs about how things should be sometimes hold me back from doing things I know I should do to grow my business.
7. I am often afraid of asking for a commitment.
8. I am frequently afraid of missing a phone call.
9. I am usually afraid that my business may fall off next month.
10. I am frequently afraid of making mistakes.
TOTAL POINTS
(Each "YES" Is Worth 1 Point)

SCORING
8-10 points Your fears are getting in your way of being more successful. A coach can help you deal with your fears so that you can feel the fear, but move ahead anyway.
4-7 points Your fears sometimes get in your way. Dealing with them will help you be more successful and confident.
0-3 points Congratulations! You are generally fearless and don't allow fears to stop you from being successful.


NOTE: Please Complete Entire Form Since It Cannot Be Saved.


* Name:  
Street:  
City:  
State:  
Zip:  
* Phone:  
* E-Mail:  

* Required Fields