1. Your Name
3. Phone Number
4. Please evaluate the following statements:
a. How often do you identify and work on tasks during the day that are of the highest priority?
b. How often do you find yourself completing tasks at the last minute - or asking for extensions?
c. How often do you set aside time for planning and scheduling?
d. Are you aware of how much time you spend on various tasks and projects?
e. How often do you find yourself dealing with interruptions?
f. How often do you use goal setting to help prioritize what tasks and activities you should work on?
g. How often do you leave contingency time in your schedule to deal with "the unexpected"?
h. Are you able to discern which tasks you are working on are high, medium, or low value?
i. When you are given a new assignment, do you analyze and prioritize it accordingly?
j. How often do you feel stressed about deadlines and commitments?
k. How often do you have to work outside "normal" work hours?
l. How often do you prioritize your “To Do” list or Action Program?
m. How often do you and your boss/supervisor/team work together to prioritize the work you're doing?
n. Before you take on a task, how often do you check that the results will be worth the time you invest?
5. What would make the biggest impact on your time management?
Should be Empty: