TaT Self-Evaluation Form Simply Fill Out and Submit at the Start and Completion of your 9-Week Journey. TaT will Score and Send the Results back to you! Date * MM DD YYYY Which Time Frame is this for the Course: * BEGINNING CONCLUSION Name * First Name Last Name Email * Phone (###) ### #### RATE HOW MUCH YOU AGREE/DISAGREE WITHTHE FOLOWING THOUGHTS, when reflecting on your previous week until now. * Please be sure to answer all of them before submitting. 1) "NO ONE UNDERSTANDS ME!" Strongly Disagree Disagree Neutral Agree Strongly Agree 2) "THERE IS NEVER ENOUGH TIME!" Strongly Disagree Disagree Neutral Agree Strongly Agree 3) "MY LIFE IS GREAT! Strongly Disagree Disagree Neutral Agree Strongly Agree 4) "I AM PISSED OFF!" Strongly Disagree Disagree Neutral Agree Strongly Agree 5) "I FEEL SAD INSIDE!" Strongly Disagree Disagree Neutral Agree Strongly Agree 6) "MY FACE SMILES A LOT!" Strongly Disagree Disagree Neutral Agree Strongly Agree 7) "I JUST DON'T FIT IN!" Strongly Disagree Disagree Neutral Agree Strongly Agree 8) "I FEEL ANXIOUS!" Strongly Disagree Disagree Neutral Agree Strongly Agree 9) "I LOVE WHO I AM!" Strongly Disagree Disagree Neutral Agree Strongly Agree 10) "I JUST WANT TO PUNCH SOMETHING!" Strongly Disagree Disagree Neutral Agree Strongly Agree 11) "I AM NOT HAPPY!" Strongly Disagree Disagree Neutral Agree Strongly Agree 12)"MY HEART IS FULL OF GRATITUDE!" Strongly Disagree Disagree Neutral Agree Strongly Agree COMMENTS: Your valuable thoughts and time are appreciated. The tallied results will be emailed back to you in a timely manner. If you have any questions/comments please feel free to reach out to us! P.S. We are glad you are here!
