WEALTH INDEX NAME: _________________________________ ENTREPRENEURSHIP EMAIL: ________________________________ Rate yourself in each of the areas below on a scale of 1-10 (1 = low skills and results, 10 = high skills and results): THE INNER WORLD OF WEALTH & SUCCESS: THE OUTER WORLD OF WEALTH & SUCCESS: 1. EMOTIONAL STATE MANAGEMENT: 5. ENTREPRENEURSHIP: 1 2 3 4 5 6 7 8 9 10 2. EMPOWERING BELIEFS: 1 2 3 4 5 6 7 8 9 10 3. VISION FOCUS: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 6. ONLINE & OFFLINE MARKETING: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 7. SALES AND ETHICAL PERSUASION/INFLUENCE: 1 2 3 4 5 6 7 8 9 10 4. THERMOSTAT/HIGH STANDARDS: 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 8. MULTIPLE STREAMS OF INCOME (MSI): 1 2 3 4 5 6 7 8 9 10 Scoring Total: Add up all of your ratings above to calculate your total score. My total score is ________/100. Here’s the good news: Even if you received a 0/100 you can still achieve massive wealth and success—so long as you are open to the idea of educating and growing yourself and modeling proven strategies. No matter what your total score is, you can turn it around and put yourself on the road to wealth and success. © 2014 Global Motivation, Inc. All rights reserved. www.JordanBelfort.com YOUR CAPITAL ASSET VALUE $__________ © 2014 Global Motivation, Inc. All rights reserved. www.JordanBelfort.com