NAME_________________________
How much control do you actually have? Put a check mark in the column that describes the amount of control you believe you have over circumstances involving each of the following areas of potential concern. Very Much Some Very Little No Control Control Control Control Grades ___ ___ ___ ___ Health ___ ___ ___ ___ Relationships ___ ___ ___ ___ Money matters ___ ___ ___ ___ Job requirements ___ ___ ___ ___