The Clean Sweep Assessment

Developed by
Thomas J. Leonard --Founder, Coach U

Introduction
You have more natural energy when you are complete with your environment, well-being, money and relationships. The Clean Sweep Assessment consists of 100 items which, when completed, will give you an indication of areas of growth. When you can answer positively to all areas it will give you the vitality and strength that you want.

Instructions
1. Answer each question. Be rigorous with yourself. If the statement is sometimes or usually true, please do not check the YES box until the statement is virtually always true for you. If the statement does not apply to you, or will never be true for you then check the YES box. You get credit because it doesn't apply or won't ever happen.

2. Print this form so that you will have a record of your responses, and a reminder of the areas of improvement.

Environment
No   Yes
___ ___ 1. My personal files, papers and receipts are neatly filed away.
___ ___ 2. My car is in excellent condition. (Doesn't need mechanical work,                     repairs, cleaning or replacing.)
___ ___ 3. My home is neat and clean. (Vacuumed, closets clean, desks and                     tables clear, furniture in good repair; windows clean)
___ ___ 4. My appliances, machinery and equipment work well.                     (Refrigerator, toaster, snow-blower, water heater, toys)
___ ___ 5. My clothes are all pressed, clean and make me look great.                     (No wrinkles, baskets of laundry, torn, out of date or ill-fitting clothes)
___ ___ 6. My plants and animals are healthy. (Fed, watered, getting light and                     love)
___ ___ 7. My bed/bedroom lets me have the best sleep possible. (Firm                     bed, light, air)
___ ___ 8. I live in a home/apartment that I love.
___ ___ 9. I surround myself with beautiful things.
___ ___ 10. I live in the geographic area of my choice.
___ ___ 11. There is ample and healthy lighting around me.
___ ___ 12. I consistently have adequate time, space and freedom in my                       life.
___ ___ 13. I am not damaged by my environment.
___ ___ 14. I am not tolerating anything about my home or work                       environment.
___ ___ 15. My work environment is productive and inspiring. (Synergistic,                       ample tools, and resources; no undue pressure)
___ ___ 16. I recycle.
___ ___ 17. I use non ozone depleting products.
___ ___ 18. My hair is the way that I want it.
___ ___ 19. I surround myself with music which makes my life more                       enjoyable.
___ ___ 20. My bed is made daily.
___ ___ 21. I don't injure myself, fall or bump into things.
___ ___ 22. People feel comfortable in my home.
___ ___ 23. I drink purified water.
___ ___ 24. I have nothing around the house or in storage that I do not                       need.
___ ___ 25. I am consistently early or easily on time.

___ ___ Section Total

Well-Being
No   Yes
___ ___ 26. I rarely use caffeine. (Chocolate, coffee, colas, tea) less than 3                       times per week, total.
___ ___ 27. I rarely eat sugar. (Less than 3 times per week)
___ ___ 28. I rarely watch television. (Less than 5 hours per week)
___ ___ 29. I rarely drink alcohol. (Less than 2 drinks per week)
___ ___ 30. My teeth and gums are healthy. (Have seen a dentist in last 6                       months)
___ ___ 31. My cholesterol count is healthful.
___ ___ 32. My blood pressure is healthful.
___ ___ 33. I have had a complete physical exam in the past 3 years.
___ ___ 34. I do not smoke tobacco or other substances.
___ ___ 35. I do not use illegal drugs or misuse prescribed medications.
___ ___ 36. I have had a complete eye exam within the past two years.                       (Glaucoma check, vision test)
___ ___ 37. My weight is within my ideal range.
___ ___ 38. My nails are healthy and look good.
___ ___ 39. I don't rush or use adrenaline to get the job done.
___ ___ 40. I have a rewarding life beyond my work or profession.
___ ___ 41. I have something to look forward to virtually every day.
___ ___ 42. I have no habits which I find to be unacceptable.
___ ___ 43. I am aware of the physical or emotional problems or                       conditions I have, and I am now fully taking care of all of                       them.
___ ___ 44. I consistently take evenings, weekends and holidays off and                       take at least two weeks of vacation each year.
___ ___ 45. I have been tested for the AIDS antibody.
___ ___ 46. I use well made sunglasses.
___ ___ 47. I do not suffer.
___ ___ 48. I floss daily.
___ ___ 49. I walk or exercise at least three times per week.
___ ___ 50. I hear well.

___ ___ Section Total

Money
No   Yes
___ ___ 51. I currently save at least 10% of my income.
___ ___ 52. I pay my bills on time, virtually always.
___ ___ 53. My income source/revenue base is stable and predictable.
___ ___ 54. I know how much I must have to be minimally financially                       independent and I have a plan to get there.
___ ___ 55. I have returned or made-good an any money I borrowed.
___ ___ 56. I have written agreements and am current with payments to                       individuals or companies to whom I owe money.
___ ___ 57. I have 6 months' living expenses in a money market-type                      account.
___ ___ 58. I live on a weekly budget which allows me to save and not                      suffer.
___ ___ 59. All my tax returns have been filed and all my taxes have                       been paid.
___ ___ 60. I currently live well, within my means.
___ ___ 61. I have excellent medical insurance.
___ ___ 62. My assets (car, home, possessions, treasures) are well-insured.
___ ___ 63. I have a financial plan for the next year.
___ ___ 64. I have no legal clouds hanging over me.
___ ___ 65. My will is up-to-date and accurate.
___ ___ 66. Any parking tickets, alimony or child support are paid and                       current.
___ ___ 67. My investments do not keep me awake at night.
___ ___ 68. I know how much I am worth.
___ ___ 69. I am on a career/professional/business track which is or will                       soon be financially and personally rewarding.
___ ___ 70. My earnings are commensurate with the effort I put into my                       job.
___ ___ 71. I have no "loose ends" at work.
___ ___ 72. I am in relationships with people who can assist in my                       career/professional development.
___ ___ 73. I rarely miss work due to illness.
___ ___ 74. I am putting aside enough money each month to reach                       financial independence.
___ ___ 75. My earnings outpace inflation, consistently.

___ ___ Section Total

Relationships
No   Yes
___ ___ 76. I have told my parents, in the last 3 months, that I love them.
___ ___ 77. I get along well with my sibling(s).
___ ___ 78. I get along well with my co-workers/clients.
___ ___ 79. I get along well with my manager/staff.
___ ___ 80. There is no one who I would dread or feel uncomfortable                       "running across". (In the street, at an airport or party)
___ ___ 81. I put people first and results second.
___ ___ 82. I have let go of the relationships which drag me down or                      damage me. ("Let go" means to end, walk away from, declare                      complete, no longer be attached to)
___ ___ 83. I have communicated or attempted to communicate with                       everyone who I damaged, injured or seriously upset, even if                       it wasn't fully my fault.
___ ___ 84. I do not gossip or talk about others.
___ ___ 85. I have a circle of friends/family who love and appreciate me                       for who I am, more than just what I do for them.
___ ___ 86. I tell people how they can satisfy me.
___ ___ 87. I am fully caught up with letters and calls.
___ ___ 88. I always tell the truth, no matter what.
___ ___ 89. I receive enough love from people around me to feel good.
___ ___ 90. I have fully forgiven those people who have hurt/damaged                       me, intentional or not.
___ ___ 91. I am a person of his/her word; people can count on me.
___ ___ 92. I quickly correct miscommunications and                       misunderstandings when they do occur.
___ ___ 93. I live life on my terms, not by the rules or preferences of                       others.
___ ___ 94. I am complete with past loves or spouses.
___ ___ 95. I am in tune with my wants and needs and get them taken                       care of.
___ ___ 96. I do not judge or criticize others.
___ ___ 97. I do not "take personally" the things that people say to me.
___ ___ 98. I have a best friend or soul-mate.
___ ___ 99. I make requests rather than complain.
___ ___ 100. I spend time with people who don't try to change me.

___ ___ Section Total

___ ___ Grand Total

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