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Template library · Assessments & screeners

Goal-Setting Assessment template

Define specific, measurable coaching goals and success criteria.

Structured goal-setting worksheet

  • 12 fields across 3 sections
  • Included with MyWellOps
  • Edit it, or save your own version

What’s in it

Assessment Details

  • Client NameText
  • Date of BirthDate
  • Client ID / MRNText
  • Date of AssessmentDate
  • Clinician / CoachText
  • Location / ModalityText

Goals

  • Primary goal for this engagementText
  • How success will be measuredText
  • Potential obstaclesText
  • TimelineText

Signatures

  • Client SignatureSignature
  • Date signed (client)Date

When to use it

Use an assessment at the start of work to set a baseline, then repeat it at review points so you and the client can see what has changed.

How it works in MyWellOps

  1. Pick it from Documents.
  2. Send it to the client to complete, or fill it in together during a session.
  3. Each completed copy is kept on the client’s record, so earlier results are there to compare.

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