SELF Habit Change™

SELF Potential
Assessment

Discover What's Really Holding You Back

Most people don't need more motivation. They need less interference. Complete this free 3-minute assessment to identify which areas of your life are creating the most interference — and discover where to focus first.

How It Works

Rate each statement from 1 to 5 using the scale below.

1 Strongly
Disagree

2 Disagree

3 Neutral

4 Agree

5 Strongly
Agree

Sleep

Recovery · Clarity · Resilience

01

I wake up feeling refreshed and energized most mornings.

1

2

3

4

5
02

I consistently get 7–8 hours of quality sleep.

1

2

3

4

5
03

I have enough energy to get through the day without relying heavily on caffeine.

1

2

3

4

5
04

I maintain a regular sleep and wake schedule.

1

2

3

4

5
05

My sleep supports my productivity and wellbeing.

1

2

3

4

5

Sleep Score

Exercise

Strength · Confidence · Discipline

06

I intentionally exercise at least 3 times per week.

1

2

3

4

5
07

I feel physically strong and capable.

1

2

3

4

5
08

I prioritise movement even when I am busy.

1

2

3

4

5
09

My fitness supports the lifestyle I want to live.

1

2

3

4

5
10

I have good daily energy levels.

1

2

3

4

5

Exercise Score

Living

Purpose · Identity · Accountability

11

I have a clear vision for my future.

1

2

3

4

5
12

I know what is most important to me.

1

2

3

4

5
13

I follow through on commitments I make to myself.

1

2

3

4

5
14

I spend more time focused on goals than distractions.

1

2

3

4

5
15

I believe I am capable of more.

1

2

3

4

5
16

I manage stress effectively.

1

2

3

4

5
17

I am actively becoming the person I want to be.

1

2

3

4

5
18

My daily actions align with my values.

1

2

3

4

5

Living Score

Food

Fuel · Recovery · Performance

19

I regularly eat foods that support my health and energy.

1

2

3

4

5
20

I have control over emotional eating and cravings.

1

2

3

4

5
21

My nutrition supports my physical and mental performance.

1

2

3

4

5
22

I make intentional food choices rather than impulsive ones.

1

2

3

4

5
23

I rarely feel sluggish because of the food I eat.

1

2

3

4

5

Food Score

Your Biggest Challenge

Which statement felt most true? What is the biggest obstacle currently preventing you from becoming your best self?

Your Total

SELF Score

Your Results

95–115

Realising Your Potential

You have built a strong foundation across the SELF pillars. Your next level of growth is focused on optimisation, refinement, and expanding your vision.

75–94

Building Momentum

You are making progress, but certain habits and patterns are still limiting your full potential. Focus on improving the area with your lowest score.

55–74

Too Much Interference

Your potential is there, but interference is slowing you down. This could be showing up as low energy, distraction, stress, inconsistency, poor habits, or limiting beliefs. Awareness is the first step toward change.

Below 55

Stuck in Survival Mode

You are likely experiencing significant interference across multiple areas of your life. You do not need more motivation — you need clarity, support, and a simple plan. The fastest improvements usually come from focusing on sleep, energy, and small daily wins first.

Your Next Step

Which area scored lowest? This is likely where the greatest interference currently exists — and where your greatest opportunity for growth exists.

Sleep

Exercise

Living

Food

Start there. One pillar. One habit. One week at a time.
The SELF Framework is designed to compound — small reductions in interference create space for everything else to improve.

Get Your Free Personalised SELF Action Plan

Complete your details below and receive a customised action plan to help you reduce interference, build better habits, and realise your true potential.

First Name

Email Address

What is your biggest challenge right now?

Get My Free SELF Action Plan →

Visit selfhabitchange.com/contact to submit your details and receive your personalised plan.

SELF PotentialAssessment

Your Biggest Challenge

Your Results

Your Next Step

Get Your Free Personalised SELF Action Plan

SELF Potential
Assessment