PERSONAL MISSION STATEMENT WORKSHEET

 

STEP ONE:

Identify an Influential Person

 

 

Identify an influential person in your life.

 

 

 

 

 

 

What qualities do I you admire most in that person?

 

 

 

 

 

 

What qualities have I gained (or desire to gain) from that person?

 

 

 

 

 

 

STEP TWO:

Examine Your Values

 

 

 

List the seven values you selected in the class exercise in order of their importance.

 

1.

 

 

 

2.

 

 

 

3.

 

 

 

4.

 

 

 

5.

 

 

 

6.

 

 

 

7.

 

 

 

 

 

STEP THREE:

Evaluate how you want to fulfill the four basic human needs (According to A. Roger Merrill).

 

 

To Live:

What physical and security needs do you have?

 

 

 

 

 

 

 

To Love:

What are your relationships needs?

 

 

 

 

 

 

To Learn:

What talents do you wish to enhance or desire to develop

 

 

 

 

 

To Leave a Legacy:

What contributions do you wish to make to others?

 

 

 

 

 

 

STEP FOUR:

Define what you want to be, do and have.

 

 

What I want to be:

 

 

 

 

 

 

 

 

 

 

What I want to do:

 

 

 

 

 

 

 

 

 

What I want to have:

 

 

 

 

 

 

 

 

 

 

STEP 5:

Determine the roles that you fill in life.  Next, project yourself forward in time and write a statement about how you would like to be described in that role in:

 

Roles

Statements

 

1.

 

 

 

 

 

2.

 

 

 

 

3.

 

 

 

 

 

4.

 

 

 

 

 

5.

 

 

 

 

 

6.

 

 

 

 

 

 

 

STEP SIX:

Write a Draft of your personal mission statement.  Rely heavily on your answers to the questions in the previous steps.  Your mission statement can be in paragraph form or a list of brief statements such as a creed.  Review the attached sample mission statements for inspiration.  Write your mission statement on a separate piece of paper and turn in a copy on the assigned date.  Remember that your personal mission statement does not have to be perfect.  This should be a work in progress.  In addition, I will make no judgment on your personal vision.  Review your mission statement every few weeks and assess what you wish to add or delete.