SayPro Pre-Retreat Assessment Template

This self-assessment will help you reflect on your current strengths and areas for growth before attending the SayPro Personal Development Retreat. Your responses will guide your focus during the retreat.

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1. Personal Information

• Full Name: ______________________________________
• Email Address: __________________________________
• Phone Number: __________________________________
• Date of Birth: ___________________________________
• Country & City of Residence: ______________________

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2. Self-Assessment Ratings

Rate yourself on a scale of 1 to 5 for each category:
1️⃣ Needs Significant Improvement
2️⃣ Needs Some Improvement
3️⃣ Average Ability
4️⃣ Good Ability
5️⃣ Excellent Ability

Personal Development Area	Rating (1-5)
Self-Awareness & Understanding of Strengths/Weaknesses	☐ ☐ ☐ ☐ ☐
Confidence & Self-Esteem	☐ ☐ ☐ ☐ ☐
Emotional Intelligence (Managing Emotions & Empathy)	☐ ☐ ☐ ☐ ☐
Leadership Skills	☐ ☐ ☐ ☐ ☐
Communication & Public Speaking	☐ ☐ ☐ ☐ ☐
Time Management & Productivity	☐ ☐ ☐ ☐ ☐
Goal-Setting & Motivation	☐ ☐ ☐ ☐ ☐
Work-Life Balance	☐ ☐ ☐ ☐ ☐
Stress Management & Mindfulness	☐ ☐ ☐ ☐ ☐
Decision-Making & Problem-Solving	☐ ☐ ☐ ☐ ☐

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3. Personal Reflection

• What are your biggest strengths in personal development?
• Which areas do you feel need the most improvement?
• What challenges have prevented you from improving in these areas?
• What are your top three goals for this retreat?

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4. Commitment & Mindset

☐ I am committed to actively engaging in this retreat.
☐ I will approach the sessions with an open mind and willingness to grow.
☐ I understand that personal development is a continuous process, and I will take responsibility for my progress.

Signature: ___________________________ Date: ______________

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Submit Your Pre-Retreat Assessment

📩 Email: [Insert SayPro Email]
🌐 Online Submission: [Insert SayPro Link]

Thank you for completing your self-assessment! This will help you track your progress throughout the retreat and beyond. 🚀