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Personal Intake Questionnaire — The I AM Project

The I AM Project

Personal Intake Questionnaire

This questionnaire is the starting point for your work within The I AM Project. It is designed to help us understand where your life feels stable, aligned, and intentional and where it may feel inconsistent, reactive, or disconnected.


You will be asked to consider seven areas of life: Wellness, Spirituality, Family, Relationships, Career, Contribution, and Finances.


For each question, choose the response that most accurately reflects your experience over the past 30 days. Answer honestly rather than choosing the answer you believe you should give.

A Clearer Picture
of What Matters

  • Understand where you feel stable and aligned
  • Identify areas that feel inconsistent or reactive
  • Explore seven key areas of your life
  • Based on your experience over the past 30 days
  • Answer honestly for the greatest insight

Response Scale

1— Fragmented : Reactive, inconsistent, avoidant, or lacking structure.
2— Unstable : Some awareness and effort, but easily disrupted under pressure.
3— Developing : Progress is being made, but follow-through remains inconsistent.
4— Coherent : Mostly steady, intentional, and aligned across situations.
5— Integrated : Your values, decisions, and behaviour consistently work together.

Please allow approximately 10–15 minutes to complete the questionnaire.

Your Details

Please provide your name and email address so we can connect your results to your profile.

Please complete the following to proceed

    Additional Area of Life

    Is there another important area of your life that is not represented in the seven domains above? This additional area provides helpful context but is not included in your overall assessment score.

    Please complete the following to proceed

      Thank You

      You have completed the first step of The I AM Project. Your responses provide a starting picture of where your life is currently working together and where greater stability, clarity, or alignment may be needed.

      This is not a judgment of who you are. It is a practical baseline that will help guide the work ahead.
      Your results will be used to identify:

      • your strongest areas of alignment,
      • the areas creating the greatest strain or inconsistency,
      • and the most useful place to begin.

      Please review your responses before submitting. Once complete, select Submit below.

      Confidentiality Notice — Your responses are confidential and are used solely for coaching and personal-development purposes.
      Please complete the following to proceed