The Everything Book
Short Description
details of the one you love...
Description
THE EVERYTHING BOOK The essential details about the one you love
BY ARIELLE FORD Wabi Sabi Lo ve ve i and The Soulmate Secret
Author of
THE EVERYTHING BOOK The essential details about the one you love
Copyright © 2012 by Arielle Ford All rights reserved. No part of this book may be reproduced by any mech anical photographic o r electronic process, or in the f orm of a phonographic recording; nor may it be stored in a retrieval s ystem, transmitted, or otherwise be copied for public or private use—other than for “fair use” as brief quotations embodied in articles and reviews without prior written permission of the publisher. The author of this book does not dispense medical advise or prescribe the use of any techniques as forms of treatment for physical or medical problems without the advice of a physician, either directly or indirectly. The intent of the author is only to offer information of a general natur e to help you in your quest for emotional and spiritual well-being. In the event you use any of the information in this book for yourself, which is your constitutional right, the author and the publisher assume no responsibility for your actions.
BY ARIELLE FORD
Contents Introduction . . . . . . . . . . . . . . . . . . . . . 1
Musi Musicc & Book Bookss . . . . . . . . . . . . . . . . . . . . . 41
History
. . . . . . . . . . . . . . . . . . . . . . . 3
Movies Movies & elevision elevision . . . . . . . . . . . . . . . . . . . . . . . 45
Family& Family& Pets Pets . . . . . . . . . . . . . . . . . . . . . . . . 7
Sports Sports & Games Games . . . . . . . . . . . . . . . . . . . . . . . 49
Friends . . . . . . . . . . . . . . . . . . . . . . . . . 9
Shopping . . . . . . . . . . . . . . . . . . . . . . . . 51
Health . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Ting Tingss I Like Like . . . . . . . . . . . . . . . . . . . . . . . . 53
Care & Maintenanc Maintenancee . . . . . . . . . . . . . . . . . . . . . . 13
Ting Tingss I Don’ Don’t Like Like . . . . . . . . . . . . . . . . . . . . 55
Feeding Feeding Requirement Requirementss . . . . . . . . . . . . . . . . . . . . 15
Spirituality . . . . . . . . . . . . . . . . . . . . . . . . 57
What Makes Me, Me! . . . . . . . . . . . . . . . . . . . . 19
Dating . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Soci Social al View Viewss . . . . . . . . . . . . . . . . . . . . . 23
Romance. Romance. . . . . . . . . . . . . . . . . . . . . . 63
Ting Tingss I Tink Tink Abou Aboutt . . . . . . . . . . . . . . . . . . . . 25
Relationships . . . . . . . . . . . . . . . . . . . . . 67
Upse Upsets ts & Mood Moodss . . . . . . . . . . . . . . . . . . . . . 27
Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Alone ime . . . . . . . . . . . . . . . . . . . . . 31
Sexual Fantasi Fantasies es . . . . . . . . . . . . . . . . . . . . . 75
My Perfe Perfect ct Day Day . . . . . . . . . . . . . . . . . . . . . 33
Holidays Holidays & Celebrati Celebrations ons . . . . . . . . . . . . . . . . . . . 77
Satur Saturda days ys & Sunday Sundayss . . . . . . . . . . . . . . . . . . . 35
Vacations Vacations & ravel . . . . . . . . . . . . . . . . . . . . . . 81
Career . . . . . . . . . . . . . . . . . . . . . . . 37
My Future . . . . . . . . . . . . . . . . . . . . . . . . . 83
Money . . . . . . . . . . . . . . . . . . . . . . . . . . 39
In Case Case of Emerge Emergency ncy . . . . . . . . . . . . . . . . . . . . . 85
THE EVERYTHING BOOK The essential details about the one you love
Copyright © 2012 by Arielle Ford All rights reserved. No part of this book may be reproduced by any mech anical photographic o r electronic process, or in the f orm of a phonographic recording; nor may it be stored in a retrieval s ystem, transmitted, or otherwise be copied for public or private use—other than for “fair use” as brief quotations embodied in articles and reviews without prior written permission of the publisher. The author of this book does not dispense medical advise or prescribe the use of any techniques as forms of treatment for physical or medical problems without the advice of a physician, either directly or indirectly. The intent of the author is only to offer information of a general natur e to help you in your quest for emotional and spiritual well-being. In the event you use any of the information in this book for yourself, which is your constitutional right, the author and the publisher assume no responsibility for your actions.
BY ARIELLE FORD
Contents Introduction . . . . . . . . . . . . . . . . . . . . . 1
Musi Musicc & Book Bookss . . . . . . . . . . . . . . . . . . . . . 41
History
. . . . . . . . . . . . . . . . . . . . . . . 3
Movies Movies & elevision elevision . . . . . . . . . . . . . . . . . . . . . . . 45
Family& Family& Pets Pets . . . . . . . . . . . . . . . . . . . . . . . . 7
Sports Sports & Games Games . . . . . . . . . . . . . . . . . . . . . . . 49
Friends . . . . . . . . . . . . . . . . . . . . . . . . . 9
Shopping . . . . . . . . . . . . . . . . . . . . . . . . 51
Health . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Ting Tingss I Like Like . . . . . . . . . . . . . . . . . . . . . . . . 53
Care & Maintenanc Maintenancee . . . . . . . . . . . . . . . . . . . . . . 13
Ting Tingss I Don’ Don’t Like Like . . . . . . . . . . . . . . . . . . . . 55
Feeding Feeding Requirement Requirementss . . . . . . . . . . . . . . . . . . . . 15
Spirituality . . . . . . . . . . . . . . . . . . . . . . . . 57
What Makes Me, Me! . . . . . . . . . . . . . . . . . . . . 19
Dating . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Soci Social al View Viewss . . . . . . . . . . . . . . . . . . . . . 23
Romance. Romance. . . . . . . . . . . . . . . . . . . . . . 63
Ting Tingss I Tink Tink Abou Aboutt . . . . . . . . . . . . . . . . . . . . 25
Relationships . . . . . . . . . . . . . . . . . . . . . 67
Upse Upsets ts & Mood Moodss . . . . . . . . . . . . . . . . . . . . . 27
Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Alone ime . . . . . . . . . . . . . . . . . . . . . 31
Sexual Fantasi Fantasies es . . . . . . . . . . . . . . . . . . . . . 75
My Perfe Perfect ct Day Day . . . . . . . . . . . . . . . . . . . . . 33
Holidays Holidays & Celebrati Celebrations ons . . . . . . . . . . . . . . . . . . . 77
Satur Saturda days ys & Sunday Sundayss . . . . . . . . . . . . . . . . . . . 35
Vacations Vacations & ravel . . . . . . . . . . . . . . . . . . . . . . 81
Career . . . . . . . . . . . . . . . . . . . . . . . 37
My Future . . . . . . . . . . . . . . . . . . . . . . . . . 83
Money . . . . . . . . . . . . . . . . . . . . . . . . . . 39
In Case Case of Emerge Emergency ncy . . . . . . . . . . . . . . . . . . . . . 85
Contents Introduction . . . . . . . . . . . . . . . . . . . . . 1
Musi Musicc & Book Bookss . . . . . . . . . . . . . . . . . . . . . 41
History
. . . . . . . . . . . . . . . . . . . . . . . 3
Movies Movies & elevision elevision . . . . . . . . . . . . . . . . . . . . . . . 45
Family& Family& Pets Pets . . . . . . . . . . . . . . . . . . . . . . . . 7
Sports Sports & Games Games . . . . . . . . . . . . . . . . . . . . . . . 49
Friends . . . . . . . . . . . . . . . . . . . . . . . . . 9
Shopping . . . . . . . . . . . . . . . . . . . . . . . . 51
Health . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Ting Tingss I Like Like . . . . . . . . . . . . . . . . . . . . . . . . 53
Care & Maintenanc Maintenancee . . . . . . . . . . . . . . . . . . . . . . 13
Ting Tingss I Don’ Don’t Like Like . . . . . . . . . . . . . . . . . . . . 55
Feeding Feeding Requirement Requirementss . . . . . . . . . . . . . . . . . . . . 15
Spirituality . . . . . . . . . . . . . . . . . . . . . . . . 57
What Makes Me, Me! . . . . . . . . . . . . . . . . . . . . 19
Dating . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Soci Social al View Viewss . . . . . . . . . . . . . . . . . . . . . 23
Romance. Romance. . . . . . . . . . . . . . . . . . . . . . 63
Ting Tingss I Tink Tink Abou Aboutt . . . . . . . . . . . . . . . . . . . . 25
Relationships . . . . . . . . . . . . . . . . . . . . . 67
Upse Upsets ts & Mood Moodss . . . . . . . . . . . . . . . . . . . . . 27
Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Alone ime . . . . . . . . . . . . . . . . . . . . . 31
Sexual Fantasi Fantasies es . . . . . . . . . . . . . . . . . . . . . 75
My Perfe Perfect ct Day Day . . . . . . . . . . . . . . . . . . . . . 33
Holidays Holidays & Celebrati Celebrations ons . . . . . . . . . . . . . . . . . . . 77
Satur Saturda days ys & Sunday Sundayss . . . . . . . . . . . . . . . . . . . 35
Vacations Vacations & ravel . . . . . . . . . . . . . . . . . . . . . . 81
Career . . . . . . . . . . . . . . . . . . . . . . . 37
My Future . . . . . . . . . . . . . . . . . . . . . . . . . 83
Money . . . . . . . . . . . . . . . . . . . . . . . . . . 39
In Case Case of Emerge Emergency ncy . . . . . . . . . . . . . . . . . . . . . 85
Introduction
W
hheher eher you’ve been ogeher hree monh or hiry year (or more!), here i away more o earn abou he one you ove.
Une you have a hoograhi memory, i’ har o remember a he ac a we a he ite deai ha mae mae omeone ee eia. An, here are are away new an exiing ac ac o earn abou eah oher’ wan, need an deire. Tin o hi f-in-he-ban boo a an “owner’ “owner’ manua,” a se-by-se guide ha wi rovide you wih a ieime o are on how o kee eah oher hapy an aifed! Te boo i deigne o boh arner an f i ou an hen hare i. I’ an oporuniy o rovide your arner wih old an mos imorany new deai on he big an ma way o mae you mie!
Arielee Ford Ariel Ford La Jolla, CA
vi
1
Introduction
W
hheher eher you’ve been ogeher hree monh or hiry year (or more!), here i away more o earn abou he one you ove.
Une you have a hoograhi memory, i’ har o remember a he ac a we a he ite deai ha mae mae omeone ee eia. An, here are are away new an exiing ac ac o earn abou eah oher’ wan, need an deire. Tin o hi f-in-he-ban boo a an “owner’ “owner’ manua,” a se-by-se guide ha wi rovide you wih a ieime o are on how o kee eah oher hapy an aifed! Te boo i deigne o boh arner an f i ou an hen hare i. I’ an oporuniy o rovide your arner wih old an mos imorany new deai on he big an ma way o mae you mie!
Arielee Ford Ariel Ford La Jolla, CA
1
vi
History Name on birh cericae _________________ Name on birh cericae _________________ ____________ _____________ ________ ___________ ____________ __________ Name I go by_________________________ Name I go by_________________________ Dae o Birh _________________________ Dae o Birh _________________________ ime ________________________
ime ________________________
Ciy_________________________
Ciy_________________________
Sae ________________________
Sae ________________________
Heigh_____________________________ Heigh_____________________________ Weigh _____________________________ Weigh _____________________________ Hair color ___________________________ Hair color ___________________________ Eye color ____________________________ Eye color ____________________________ Signican birh evens __________________ Signican birh evens __________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ Moher’s maiden name __________________ Moher’s maiden name __________________ Faher’s name ________________________ Faher’s name ________________________ Sisers & brohers names _________________ Sisers & brohers names _________________ ____________ _____________ ________ ___________ ____________ __________ _____ _____ ____ _____ _____ ____ ____ ____ ____ ____ _____ _____ ____ _____ _ Nicknames __________________________ Nicknames __________________________ ____________ _____________ ________ ___________ ____________ __________ 2
3
History Name on birh cericae _________________ Name on birh cericae _________________ ____________ _____________ ________ ___________ ____________ __________ Name I go by_________________________ Name I go by_________________________ Dae o Birh _________________________ Dae o Birh _________________________ ime ________________________
ime ________________________
Ciy_________________________
Ciy_________________________
Sae ________________________
Sae ________________________
Heigh_____________________________ Heigh_____________________________ Weigh _____________________________ Weigh _____________________________ Hair color ___________________________ Hair color ___________________________ Eye color ____________________________ Eye color ____________________________ Signican birh evens __________________ Signican birh evens __________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ Moher’s maiden name __________________ Moher’s maiden name __________________ Faher’s name ________________________ Faher’s name ________________________ Sisers & brohers names _________________ Sisers & brohers names _________________ ____________ _____________ ________ ___________ ____________ __________ _____ _____ ____ _____ _____ ____ ____ ____ ____ ____ _____ _____ ____ _____ _ Nicknames __________________________ Nicknames __________________________ ____________ _____________ ________ ___________ ____________ __________ 3
2
c Favorie childhood oys __________________
Favorie childhood oys __________________
Award s___ ____ ____ ____ ____ __
Award s___ ____ ____ ____ ____ __
__________________________________ __________________________________
___________________________
___________________________
Favorie hings o do when I was litle included
Favorie hings o do when I was litle included
____________________________
____________________________
___________ ____________ __________ ____________ ____________ _________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Kindergaren I atended__________________ KindergarenI atended__________________
Prom Dae_____________________
Prom Dae_____________________
Elemenary School _____________________ Elemenary School _____________________
I wore_____________________
I wore_____________________
Signican childhood evens_______________
Signican childhood evens_______________
_________________________
_________________________
__________________________________ __________________________________
I was held a________________
I was held a________________
___________ ____________ __________ ____________ ____________ _________
_________________________
_________________________
___________ ____________ __________ ____________ ____________ _________
College ___________ __________________
College ___________ __________________
Jr. High School ________________________ Jr. High School ________________________
__________________________________ __________________________________
High School __________________________
High School __________________________
Favorie subjecs in school_________________ Favorie subjecs in school_________________
Exracurricular Aciviies___________
Exracurricular Aciviies___________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
none Spors played______________ ______________
Spors played______________ ______________
Religious Aciviies (bapism, bar mizvah, ec.)
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
4
Religious Aciviies (bapism, bar mizvah, ec.)
5
c Favorie childhood oys __________________
Favorie childhood oys __________________
Award s___ ____ ____ ____ ____ __
Award s___ ____ ____ ____ ____ __
__________________________________ __________________________________
___________________________
___________________________
Favorie hings o do when I was litle included
Favorie hings o do when I was litle included
____________________________
____________________________
___________ ____________ __________ ____________ ____________ _________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Kindergaren I atended__________________ KindergarenI atended__________________
Prom Dae_____________________
Prom Dae_____________________
Elemenary School _____________________ Elemenary School _____________________
I wore_____________________
I wore_____________________
Signican childhood evens_______________
Signican childhood evens_______________
_________________________
_________________________
__________________________________ __________________________________
I was held a________________
I was held a________________
___________ ____________ __________ ____________ ____________ _________
_________________________
_________________________
___________ ____________ __________ ____________ ____________ _________
College ___________ __________________
College ___________ __________________
Jr. High School ________________________ Jr. High School ________________________
__________________________________ __________________________________
High School __________________________
High School __________________________
Favorie subjecs in school_________________ Favorie subjecs in school_________________
Exracurricular Aciviies___________
Exracurricular Aciviies___________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
none Spors played______________ ______________
Spors played______________ ______________
Religious Aciviies (bapism, bar mizvah, ec.)
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ ____________ _________ ___________ ____________ __________
Religious Aciviies (bapism, bar mizvah, ec.)
5
4
Family & Pets oday my amily consiss o: wie/husband ________________________
wie/husband ________________________
children (and ages)_____________________
children (and ages)_____________________
__________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ ex’s_______________________________
ex’s_______________________________
sisers _____ _________________________
sisers _____ _________________________
__________________________________ __________________________________ brohers___________________________ brohers___________________________ __________________________________ __________________________________ parens_____________________________ parens_____________________________ grandparens_________________________ grandparens_________________________ _____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ auns & uncles________________________
auns & uncles________________________
_____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ cousins ___________ __________________
cousins ___________ __________________
_____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ __________________________________ __________________________________ ohers ____ __________________________ 6
ohers ____ __________________________ 7
Family & Pets oday my amily consiss o: wie/husband ________________________
wie/husband ________________________
children (and ages)_____________________
children (and ages)_____________________
__________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ ex’s_______________________________
ex’s_______________________________
sisers _____ _________________________
sisers _____ _________________________
__________________________________ __________________________________ brohers___________________________ brohers___________________________ __________________________________ __________________________________ parens_____________________________ parens_____________________________ grandparens_________________________ grandparens_________________________ _____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ auns & uncles________________________
auns & uncles________________________
_____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ cousins ___________ __________________
cousins ___________ __________________
_____ _____ ____ _____ _____ ____ ____ _____ ____ _____ _____ ____ _____ ____ __________________________________ __________________________________ ohers ____ __________________________
ohers ____ __________________________ 7
6
Friends I am _________________close o my amily.
I am _________________close o my amily.
My very bes iend is ___________________ My very bes iend is ___________________
My avorie relaive is ___________________ My avorie relaive is ___________________
__________________________________ __________________________________
__________________________________ __________________________________
Some o my oher iends are ______________
because_____________________________
__________________________________ __________________________________
because_____________________________
Some o my oher iends are ______________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
Te iend ha is he mos like amily is _______ Te iend ha is he mos like amily is _______
__________________________________ __________________________________
__________________________________ __________________________________
My avorie animal is ___________________ My avorie animal is ___________________
My unnies iend is ___________________ My unnies iend is ___________________
__________________________________ __________________________________
My smares iend is ___________________ My smares iend is ___________________
Te rs pe I ever owned was a _____________ Te rs pe I ever owned was a _____________
My oldes iend ha I am sill in ouch wih is My oldes iend ha I am sill in ouch wih is
__________________________________ __________________________________
__________________________________ __________________________________
Ideally I would like o have ____________ pes .
Ideally I would like o have ____________ pes.
My iend ha lives arhes away is ________ My iend ha lives arhes away is ________
Tey would include ____________________
Tey would include ____________________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
Te qualiies ha are very imporan o me in a
____________ _____________ ________ ___________ ____________ __________
iend are ___________________________ iend are ___________________________
I would like o have a ___________________
I would like o have a ___________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
because_____________________________
My iends come o me or _______________ My iends come o me or _______________
because_____________________________
__________________________________ __________________________________
Te qualiies ha are very imporan o me in a
____________ _____________ ________ ___________ ____________ __________
____________ _____________ ________ ___________ ____________ __________
. . . and ha makes me eel __________
. . . and ha makes me eel __________
__________________________________ __________________________________
____________________________
____________________________
8
9
Friends I am _________________close o my amily.
I am _________________close o my amily.
My very bes iend is ___________________ My very bes iend is ___________________
My avorie relaive is ___________________ My avorie relaive is ___________________
__________________________________ __________________________________
__________________________________ __________________________________
Some o my oher iends are ______________
because_____________________________
__________________________________ __________________________________
because_____________________________
Some o my oher iends are ______________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
Te iend ha is he mos like amily is _______ Te iend ha is he mos like amily is _______
__________________________________ __________________________________
__________________________________ __________________________________
My avorie animal is ___________________ My avorie animal is ___________________
My unnies iend is ___________________ My unnies iend is ___________________
__________________________________ __________________________________
My smares iend is ___________________ My smares iend is ___________________
Te rs pe I ever owned was a _____________ Te rs pe I ever owned was a _____________
My oldes iend ha I am sill in ouch wih is My oldes iend ha I am sill in ouch wih is
__________________________________ __________________________________
__________________________________ __________________________________
Ideally I would like o have ____________ pes .
Ideally I would like o have ____________ pes.
My iend ha lives arhes away is ________ My iend ha lives arhes away is ________
Tey would include ____________________
Tey would include ____________________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
Te qualiies ha are very imporan o me in a
____________ _____________ ________ ___________ ____________ __________
iend are ___________________________ iend are ___________________________
I would like o have a ___________________
I would like o have a ___________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
because_____________________________
My iends come o me or _______________ My iends come o me or _______________
because_____________________________
__________________________________ __________________________________
Te qualiies ha are very imporan o me in a
____________ _____________ ________ ___________ ____________ __________
____________ _____________ ________ ___________ ____________ __________
. . . and ha makes me eel __________
. . . and ha makes me eel __________
__________________________________ __________________________________
____________________________
____________________________ 9
8
Health I have los iends because ________________ I have los iends because ________________
I am ________________________ healhy.
__________________________________ __________________________________
My bes healh habi is __________________ My bes healh habi is __________________
__________________________________ __________________________________
__________________________________ __________________________________
Tings I like o do wih my iends are ________ Tings I like o do wih my iends are ________
Te leas healhy hing I do is ______________ Te leas healhy hing I do is ______________
___________ _____________ _________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _____ ____
__________________________________ __________________________________
Exercises I enjoy _______________________ Exercises I enjoy _______________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Exercises I dislike ______________________ Exercises I dislike ______________________
Tings I like o do wih a group o iends are_____ Tings I like o do wih a group o iends are_____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I exercise __________________ imes a week.
__________________________________ __________________________________
Viamins & supplemens I ake daily _________ Viamins & supplemens I ake daily _________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
O all my childhood iends I have los conac O all my childhood iends I have los conac
I am allergic o ________________________
wih, he one I would mos like o see again is
__________________________________ __________________________________
wih, he one I would mos like o see again is
___________ _____________ _________ ____________ ____________ _________
I am ________________________ healhy.
I exercise __________________ imes a week.
I am allergic o ________________________
. . . my reacion is________________
. . . my reacion is________________
____________________________
____________________________
. . . because_____________________
. . . because_____________________
__________________________
__________________________
Te healh problems I have _______________ Te healh problems I have _______________
____________________________
____________________________
____________ _____________ ________ ____________ ____________ _________
___________________________
___________________________
____________ _____________ ________ ____________ ____________ _________
10
11
Health I have los iends because ________________ I have los iends because ________________
I am ________________________ healhy.
__________________________________ __________________________________
My bes healh habi is __________________ My bes healh habi is __________________
__________________________________ __________________________________
__________________________________ __________________________________
Tings I like o do wih my iends are ________ Tings I like o do wih my iends are ________
Te leas healhy hing I do is ______________ Te leas healhy hing I do is ______________
___________ _____________ _________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _____ ____
__________________________________ __________________________________
Exercises I enjoy _______________________ Exercises I enjoy _______________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Exercises I dislike ______________________ Exercises I dislike ______________________
Tings I like o do wih a group o iends are_____ Tings I like o do wih a group o iends are_____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I exercise __________________ imes a week.
__________________________________ __________________________________
Viamins & supplemens I ake daily _________ Viamins & supplemens I ake daily _________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
O all my childhood iends I have los conac O all my childhood iends I have los conac
I am allergic o ________________________
wih, he one I would mos like o see again is
__________________________________ __________________________________
wih, he one I would mos like o see again is
___________ _____________ _________ ____________ ____________ _________
I am ________________________ healhy.
I exercise __________________ imes a week.
I am allergic o ________________________
. . . my reacion is________________
. . . my reacion is________________
____________________________
____________________________
. . . because_____________________
. . . because_____________________
__________________________
__________________________
Te healh problems I have _______________ Te healh problems I have _______________
____________________________
____________________________
____________ _____________ ________ ____________ ____________ _________
___________________________
___________________________
____________ _____________ ________ ____________ ____________ _________ 11
10
Care & Maintenance Te medicaions I mus ake _______________ Te medicaions I mus ake _______________
Morning riuals _______________________ Morning riuals _______________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Bedime riuals _______________________ Bedime riuals _______________________
My amily has ahisory o _________________ My amily has a hisory o _________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I require ___ _________ hours o sleep per nigh.
I require __ __________ hours o sleep per nigh.
__________________________________ __________________________________
I I don’ ge ha amoun his is wha happens
I I don’ ge ha amoun his is wha happens
I expec o live o he age o ________________ I expec o live o he age o ________________
__________________________________ __________________________________
Illnesses I have had ____________________ Illnesses I have had ____________________
__________________________________ __________________________________
__________________________________ __________________________________
I like o sleep on he _________ side o he bed.
___________ _____________ _________ ____________ ____________ _________
I need _______ pillows, preerably _______ I need _______ pillows, preerably _______
__________________________________ __________________________________
I like o sleep wih he windows _________
___________ _____________ _________ ____________ ____________ _________ When I ge sick i is usually because o ________
When I ge sick i is usually because o ________
I like o sleep on he _________ side o he bed.
I like o sleep wih he windows _________
. . . and air condiioning/heaer _______ . . . Te way I like o all asleep is ______________
and
air condiioning/heaer _______
Te way I like o all asleep is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te way I like o be awakened is _____________ Te way I like o be awakened is _____________
__________________________________ __________________________________
__________________________________ __________________________________
I have been admited o a hospial ______ imes. I have been admited o a hospial ______ imes.
I I wake up in he middle o he nigh om a
I I wake up in he middle o he nigh om a nighmare, please ______________________
I was admited or _______________
I was admited or _______________
nighmare, please ______________________
____________________________
____________________________
____________ _____________ ________ ____________ ____________ _________
My healh insurance carrier is ____________ My healh insurance carrier is ____________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I like o ake _________ showers/bahs per day.
12
I like o ake _________ showers/bahs per day. 13
Care & Maintenance Te medicaions I mus ake _______________ Te medicaions I mus ake _______________
Morning riuals _______________________ Morning riuals _______________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Bedime riuals _______________________ Bedime riuals _______________________
My amily has ahisory o _________________ My amily has a hisory o _________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I require ___ _________ hours o sleep per nigh.
I require __ __________ hours o sleep per nigh.
__________________________________ __________________________________
I I don’ ge ha amoun his is wha happens
I I don’ ge ha amoun his is wha happens
I expec o live o he age o ________________ I expec o live o he age o ________________
__________________________________ __________________________________
Illnesses I have had ____________________ Illnesses I have had ____________________
__________________________________ __________________________________
__________________________________ __________________________________
I like o sleep on he _________ side o he bed.
___________ _____________ _________ ____________ ____________ _________
I need _______ pillows, preerably _______ I need _______ pillows, preerably _______
__________________________________ __________________________________
I like o sleep wih he windows _________
___________ _____________ _________ ____________ ____________ _________ When I ge sick i is usually because o ________
When I ge sick i is usually because o ________
I like o sleep on he _________ side o he bed.
I like o sleep wih he windows _________
. . . and air condiioning/heaer _______ . . . Te way I like o all asleep is ______________
and
air condiioning/heaer _______
Te way I like o all asleep is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te way I like o be awakened is _____________ Te way I like o be awakened is _____________
__________________________________ __________________________________
__________________________________ __________________________________
I have been admited o a hospial ______ imes. I have been admited o a hospial ______ imes.
I I wake up in he middle o he nigh om a
I I wake up in he middle o he nigh om a nighmare, please ______________________
I was admited or _______________
I was admited or _______________
nighmare, please ______________________
____________________________
____________________________
____________ _____________ ________ ____________ ____________ _________
My healh insurance carrier is ____________ My healh insurance carrier is ____________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I like o ake _________ showers/bahs per day.
I like o ake _________ showers/bahs per day. 13
12
Feeding Requirements Tis is he aciviy I preer o do alone ________ Tis is he aciviy I preer o do alone ________
I need o ea _________________ imes a day.
__________________________________ __________________________________
Preerably a he ollowing imes____________ Preerably a he ollowing imes____________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I I miss a meal I ge ____________________ I I miss a meal I ge ____________________
I preer he ollowing accouremens wih my
I preer he ollowing accouremens wih my
My avorie:
bahing ____________________________
bahing ____________________________
breakas oods are __________ _____
breakas oods are _______________
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
lunch oods are ____________ _____
lunch oods are _____________ ____
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
dinner oods are _________ ________
dinner oods are _________________
My avorie oohpase is _________________ My avorie oohpase is _________________
____________________________
____________________________
__________________________________ __________________________________
meal o he day is ________________
meal o he day is ________________
Body pars I mos like having massaged are ____ Body pars I mos like having massaged are ____
____________________________
____________________________
___________ _____________ _________ ___________ ____________ __________
dessers are ____________________
dessers are ____________________
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
___________ _____________ _________ ___________ ____________ __________
alcoholic/non-alcoholic beverages are ___
alcoholic/non-alcoholic beverages are ___
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
kind o swees ___________________
kind o swees ___________________
____________________________
____________________________
14
I need o ea _________________ imes a day.
My avorie:
15
Feeding Requirements Tis is he aciviy I preer o do alone ________ Tis is he aciviy I preer o do alone ________
I need o ea _________________ imes a day.
I need o ea _________________ imes a day.
__________________________________ __________________________________
Preerably a he ollowing imes____________ Preerably a he ollowing imes____________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I I miss a meal I ge ____________________ I I miss a meal I ge ____________________
I preer he ollowing accouremens wih my
I preer he ollowing accouremens wih my
My avorie:
bahing ____________________________
bahing ____________________________
breakas oods are __________ _____
breakas oods are _______________
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
lunch oods are ____________ _____
lunch oods are _____________ ____
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
dinner oods are _________ ________
dinner oods are _________________
My avorie oohpase is _________________ My avorie oohpase is _________________
____________________________
____________________________
__________________________________ __________________________________
meal o he day is ________________
meal o he day is ________________
Body pars I mos like having massaged are ____ Body pars I mos like having massaged are ____
____________________________
____________________________
___________ _____________ _________ ___________ ____________ __________
dessers are ____________________
dessers are ____________________
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
___________ _____________ _________ ___________ ____________ __________
alcoholic/non-alcoholic beverages are ___
alcoholic/non-alcoholic beverages are ___
___________ _____________ _________ ___________ ____________ __________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
kind o swees ___________________
kind o swees ___________________
____________________________
____________________________
My avorie:
15
14
c My avorie:
My avorie:
I hae he ollowing oods _________________
I hae he ollowing oods _________________
resaurans are __________________
resaurans are __________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
as ood places __________________
as ood places __________________
I’m allergic o hese oods ________________ I’m allergic o hese oods ________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
. . . because _____________________
. . . because _____________________
I oen crave hese oods __________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
Cooking o me is ______________________
Cooking o me is ______________________
. . . especially when _______________
. . . especially when _______________
__________________________________ __________________________________
___________________________
___________________________
___________ _____________ _________ ___________ ____________ __________
___________________________
___________________________
My specialies include ___________________ My specialies include ___________________
____________________________
____________________________
__________________________________ __________________________________
Foods ha give me gas ___________________
Foods ha give me gas ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ___________ ____________ __________
16
I oen crave hese oods __________________
17
c My avorie:
My avorie:
I hae he ollowing oods _________________
I hae he ollowing oods _________________
resaurans are __________________
resaurans are __________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
as ood places __________________
as ood places __________________
I’m allergic o hese oods ________________ I’m allergic o hese oods ________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
. . . because _____________________
. . . because _____________________
I oen crave hese oods __________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
____________ _____________ ________ ___________ ____________ __________
Cooking o me is ______________________
Cooking o me is ______________________
. . . especially when _______________
. . . especially when _______________
__________________________________ __________________________________
___________________________
___________________________
___________ _____________ _________ ___________ ____________ __________
___________________________
___________________________
My specialies include ___________________ My specialies include ___________________
____________________________
____________________________
__________________________________ __________________________________
Foods ha give me gas ___________________
Foods ha give me gas ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ___________ ____________ __________
I oen crave hese oods __________________
17
16
What Makes Me, Me! My asrological sign is ___________________ My asrological sign is ___________________ I am ypical o my sign because I have hese rais
I am ypical o my sign because I have hese rais
__________________________________ __________________________________ __________________________________ __________________________________ I am no ypical o my sign because_________ I am no ypical o my sign because_________ __________________________________ __________________________________ __________________________________ __________________________________ Te hing ha makes me dieren om mos people Te hing ha makes me dieren om mos people is _________________________________
is _________________________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Somehing people may no know abou me is __ __ Somehing people may no know abou me is ____ _____ _____ ____ _____ _____ ____ ____ ____________ ____________ _________ _____ _____ ____ _____ _____ ____ ____ ____________ ____________ _________ __________________________________ __________________________________ Somehing I would like people o undersand abou Somehing I would like people o undersand abou me is ______________________________
me is ______________________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ 18
19
What Makes Me, Me! My asrological sign is ___________________ My asrological sign is ___________________ I am ypical o my sign because I have hese rais
I am ypical o my sign because I have hese rais
__________________________________ __________________________________ __________________________________ __________________________________ I am no ypical o my sign because_________ I am no ypical o my sign because_________ __________________________________ __________________________________ __________________________________ __________________________________ Te hing ha makes me dieren om mos people Te hing ha makes me dieren om mos people is _________________________________
is _________________________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Somehing people may no know abou me is __ __ Somehing people may no know abou me is ____ _____ _____ ____ _____ _____ ____ ____ ____________ ____________ _________ _____ _____ ____ _____ _____ ____ ____ ____________ ____________ _________ __________________________________ __________________________________ Somehing I would like people o undersand abou Somehing I would like people o undersand abou me is ______________________________
me is ______________________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ 19
18
c My phobias and supersiions are ____________ My phobias and supersiions are ____________
he even ha has had he mos signicance in my
Te even ha has had he mos signicance in my
__________________________________ __________________________________
lie was _____________________________
lie was _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
People and hings ha scare me _____________ People and hings ha scare me _____________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Te person ha has had he mos signicance in my
Te person ha has had he mos signicance in my
__________________________________ __________________________________
lie is/was ___________________________
lie is/was ___________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
People and hings ha make me laugh _________ People and hings ha make me laugh _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
Te bes way o ge me o do somehing I don’ wan Te bes way o ge me o do somehing I don’ wan
___________ _____________ _________ ____________ ____________ _________
o do is _____________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
Somehing I would never do is ______________ Somehing I would never do is ______________
__________________________________ __________________________________
__________________________________ __________________________________
I was ___________ years old when I le home.
I was ___________ years old when I le home.
__________________________________ __________________________________
I wen o ______________________
I wen o ______________________
__________________________________ __________________________________
____________________________
____________________________
Somehing I’ve always waned o do is ________ Somehing I’ve always waned o do is ________
I learned o drive when I was ______ years old.
I learned o drive when I was ______ years old.
__________________________________ __________________________________
I was augh by __________________
I was augh by __________________
__________________________________ __________________________________
I was a _______________ experience.
I was a _______________ experience.
__________________________________ __________________________________
Generally I am a __________________ driver.
Generally I am a __________________ driver.
20
o do is _____________________________
21
c My phobias and supersiions are ____________ My phobias and supersiions are ____________
he even ha has had he mos signicance in my
Te even ha has had he mos signicance in my
__________________________________ __________________________________
lie was _____________________________
lie was _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
People and hings ha scare me _____________ People and hings ha scare me _____________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Te person ha has had he mos signicance in my
Te person ha has had he mos signicance in my
__________________________________ __________________________________
lie is/was ___________________________
lie is/was ___________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
People and hings ha make me laugh _________ People and hings ha make me laugh _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
Te bes way o ge me o do somehing I don’ wan Te bes way o ge me o do somehing I don’ wan
___________ _____________ _________ ____________ ____________ _________
o do is _____________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
Somehing I would never do is ______________ Somehing I would never do is ______________
__________________________________ __________________________________
__________________________________ __________________________________
I was ___________ years old when I le home.
I was ___________ years old when I le home.
__________________________________ __________________________________
I wen o ______________________
I wen o ______________________
__________________________________ __________________________________
____________________________
____________________________
Somehing I’ve always waned o do is ________ Somehing I’ve always waned o do is ________
I learned o drive when I was ______ years old.
I learned o drive when I was ______ years old.
__________________________________ __________________________________
I was augh by __________________
I was augh by __________________
__________________________________ __________________________________
I was a _______________ experience.
I was a _______________ experience.
__________________________________ __________________________________
Generally I am a __________________ driver.
Generally I am a __________________ driver.
o do is _____________________________
21
20
Social Views I consider my rac record o be _____________ I consider my rac record o be _____________
I______ believe one person can make a dierence.
When I’m in heavy rac I generally ge ________ When I’m in heavy rac I generally ge ________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
When someone else drives I eel very _____ When someone else drives I eel very _____
I hink he mos imporan social issues on he
__________________________________ __________________________________
plane oday are _______________________ plane oday are _______________________
My mos precious possession _______________ My mos precious possession _______________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te one hing I’ve always waned, bu never goten Te one hing I’ve always waned, bu never goten
I I were in charge, his is wha I would do abou
I I were in charge, his is wha I would do abou
is_________________________________ is_________________________________
hem ______________________________
hem ______________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
atoos I have and where hey are locaed _____ atoos I have and where hey are locaed _____
Tis is wha I am doing abou hem now _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Piercings I have and where hey are locaed ______ Piercings I have and where hey are locaed ______
__________________________________ __________________________________
__________________________________ __________________________________
Te chariies o which I conribue ime and money
Te chariies o which I conribue ime and money
I have played hookey om work / school / lie o I have played hookey om work / school / lie o
are ________________________________
are ________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
22
I______ believe one person can make a dierence.
I hink he mos imporan social issues on he
Tis is wha I am doing abou hem now _______
23
Social Views I consider my rac record o be _____________ I consider my rac record o be _____________
I______ believe one person can make a dierence.
When I’m in heavy rac I generally ge ________ When I’m in heavy rac I generally ge ________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
When someone else drives I eel very _____ When someone else drives I eel very _____
I hink he mos imporan social issues on he
__________________________________ __________________________________
plane oday are _______________________ plane oday are _______________________
My mos precious possession _______________ My mos precious possession _______________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te one hing I’ve always waned, bu never goten Te one hing I’ve always waned, bu never goten
I I were in charge, his is wha I would do abou
I I were in charge, his is wha I would do abou
is_________________________________ is_________________________________
hem ______________________________
hem ______________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
atoos I have and where hey are locaed _____ atoos I have and where hey are locaed _____
Tis is wha I am doing abou hem now _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Piercings I have and where hey are locaed ______ Piercings I have and where hey are locaed ______
__________________________________ __________________________________
__________________________________ __________________________________
Te chariies o which I conribue ime and money
Te chariies o which I conribue ime and money
I have played hookey om work / school / lie o I have played hookey om work / school / lie o
are ________________________________
are ________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
I______ believe one person can make a dierence.
I hink he mos imporan social issues on he
Tis is wha I am doing abou hem now _______
23
22
Things I Think About I hink he mos signican dierence beween men I hink he mos signican dierence beween men
I I could have he world my way I would ____
and women is _________________________ and women is _________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te ransormaional/moivaional seminars ha Te ransormaional/moivaional seminars ha
__________________________________ __________________________________
I haveatended are____________ __________ I haveatended are_____________ _________
__________________________________ __________________________________
___________ _____________ _________ __________________________________
I I had $20 million I would spend i on_______ I I had $20 million I would spend i on_______
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
Service organizaions I belong o ____________ Service organizaions I belong o ____________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I I could mee one person, dead or alive, i would be
I I could mee one person, dead or alive, i would be
Proessional organizaions I belong o include ____ Proessional organizaions I belong o include ____
__________________________________
__________________________________
__________________________________ __________________________________
. . . because _____________________
. . . because _____________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
My houghson euhanasiaare ______________ My houghson euhanasiaare ______________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
24
I I could have he world my way I would ____
25
Things I Think About I hink he mos signican dierence beween men I hink he mos signican dierence beween men
I I could have he world my way I would ____
and women is _________________________ and women is _________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
__________________________________ __________________________________
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te ransormaional/moivaional seminars ha Te ransormaional/moivaional seminars ha
__________________________________ __________________________________
I haveatended are____________ __________ I haveatended are_____________ _________
__________________________________ __________________________________
___________ _____________ _________ __________________________________
I I had $20 million I would spend i on_______ I I had $20 million I would spend i on_______
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ___________ ____________ __________
Service organizaions I belong o ____________ Service organizaions I belong o ____________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I I could mee one person, dead or alive, i would be
I I could mee one person, dead or alive, i would be
Proessional organizaions I belong o include ____ Proessional organizaions I belong o include ____
__________________________________
__________________________________
__________________________________ __________________________________
. . . because _____________________
. . . because _____________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
My houghson euhanasiaare ______________ My houghson euhanasiaare ______________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
I I could have he world my way I would ____
25
24
Upsets & Moods I I were amous, his is wha I would wan o be I I were amous, his is wha I would wan o be
I have a _____________________ __ emper.
I have a ____________________ ___ emper.
amous or __________________________ amous or __________________________
Te early warning signs ha I am angry include
Te early warning signs ha I am angry include
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
____________ _____________ ________ ____________ ____________ _________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Te wors possible hings o do or say when I am
Te wors possible hings o do or say when I am
__________________________________ __________________________________
angry are ___________________________
angry are ___________________________
I I could have any hree wishes hey would be
I I could have any hree wishes hey would be
____________ _____________ ________ ____________ ____________ _________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ____________ ____________ _________
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
echniques I use o calm mysel down __________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
Tings ha make me cry__________________ Tings ha make me cry__________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
26
echniques I use o calm mysel down __________
27
Upsets & Moods I I were amous, his is wha I would wan o be I I were amous, his is wha I would wan o be
I have a _____________________ __ emper.
I have a ____________________ ___ emper.
amous or __________________________ amous or __________________________
Te early warning signs ha I am angry include
Te early warning signs ha I am angry include
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
____________ _____________ ________ ____________ ____________ _________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Te wors possible hings o do or say when I am
Te wors possible hings o do or say when I am
__________________________________ __________________________________
angry are ___________________________
angry are ___________________________
I I could have any hree wishes hey would be
I I could have any hree wishes hey would be
____________ _____________ ________ ____________ ____________ _________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ____________ ____________ _________
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
echniques I use o calm mysel down __________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
Tings ha make me cry__________________ Tings ha make me cry__________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
echniques I use o calm mysel down __________
27
26
c Te bes way o help me when I am:
Te bes way o help me when I am:
en hings ha can ge me in a bad mood:
en hings ha can ge me in a bad mood:
angry ________________________
angry ________________________
1. ________________________________
1. ________________________________
_______ ______ _______ _______
______ _______ _______ ______ _
2. ________________________________
2. ________________________________
sad _________________________ _ _ _ _
sad _________________________ _ _ _ _ _
3. ________________________________
3. ________________________________
____________________________
____________________________
4. ________________________________
4. ________________________________
depressed _____________________
depressed _____________________
5. ________________________________
5. ________________________________
___________________________
___________________________
6. ________________________________
6. ________________________________
moody _______________________
moody _______________________
7. ________________________________
7. ________________________________
___________________________
___________________________
8. ________________________________
8. ________________________________
I need o be hugged _____________ imes a day.
I need o be hugged _____________ imes a day.
9. ________________________________
9. ________________________________
en hings ha can ge me in a good mood:
en hings ha can ge me in a good mood:
10. _______________________________
10. _______________________________
1. ________________________________
1. ________________________________
2. ________________________________
2. ________________________________
3. ________________________________
3. ________________________________
4. ________________________________
4. ________________________________
5. ________________________________
5. ________________________________
6. ________________________________
6. ________________________________
7. ________________________________
7. ________________________________
8. ________________________________
8. ________________________________
9. ________________________________
9. ________________________________
10. _______________________________
10. _______________________________ 28
29
c Te bes way o help me when I am:
Te bes way o help me when I am:
en hings ha can ge me in a bad mood:
en hings ha can ge me in a bad mood:
angry ________________________
angry ________________________
1. ________________________________
1. ________________________________
_______ ______ _______ _______
______ _______ _______ ______ _
2. ________________________________
2. ________________________________
sad _________________________ _ _ _ _
sad _________________________ _ _ _ _ _
3. ________________________________
3. ________________________________
____________________________
____________________________
4. ________________________________
4. ________________________________
depressed _____________________
depressed _____________________
5. ________________________________
5. ________________________________
___________________________
___________________________
6. ________________________________
6. ________________________________
moody _______________________
moody _______________________
7. ________________________________
7. ________________________________
___________________________
___________________________
8. ________________________________
8. ________________________________
I need o be hugged _____________ imes a day.
I need o be hugged _____________ imes a day.
9. ________________________________
9. ________________________________
en hings ha can ge me in a good mood:
en hings ha can ge me in a good mood:
10. _______________________________
10. _______________________________
1. ________________________________
1. ________________________________
2. ________________________________
2. ________________________________
3. ________________________________
3. ________________________________
4. ________________________________
4. ________________________________
5. ________________________________
5. ________________________________
6. ________________________________
6. ________________________________
7. ________________________________
7. ________________________________
8. ________________________________
8. ________________________________
9. ________________________________
9. ________________________________
10. _______________________________
10. _______________________________ 29
28
Alone Time Tese are he hings ha I enjoy doing when I have
Tese are he hings ha I enjoy doing when I have
ime all o mysel:
ime all o mysel:
1. ________________________________
1. ________________________________
__________________________________ __________________________________ 2. ________________________________
2. ________________________________
__________________________________ __________________________________ 3. ________________________________
3. ________________________________
__________________________________ __________________________________ 4. ________________________________
4. ________________________________
__________________________________ __________________________________ 5. ________________________________
5. ________________________________
__________________________________ __________________________________ 6. ________________________________
6. ________________________________
__________________________________
__________________________________
7. ________________________________
7. ________________________________
__________________________________ __________________________________ 8. ________________________________
8. ________________________________
__________________________________ __________________________________ 9. ________________________________
9. ________________________________
__________________________________ __________________________________ 10. _______________________________
10. _______________________________
__________________________________ __________________________________ 30
31
Alone Time Tese are he hings ha I enjoy doing when I have
Tese are he hings ha I enjoy doing when I have
ime all o mysel:
ime all o mysel:
1. ________________________________
1. ________________________________
__________________________________ __________________________________ 2. ________________________________
2. ________________________________
__________________________________ __________________________________ 3. ________________________________
3. ________________________________
__________________________________ __________________________________ 4. ________________________________
4. ________________________________
__________________________________ __________________________________ 5. ________________________________
5. ________________________________
__________________________________ __________________________________ 6. ________________________________
6. ________________________________
__________________________________
__________________________________
7. ________________________________
7. ________________________________
__________________________________ __________________________________ 8. ________________________________
8. ________________________________
__________________________________ __________________________________ 9. ________________________________
9. ________________________________
__________________________________ __________________________________ 10. _______________________________
10. _______________________________
__________________________________ __________________________________ 31
30
My Perfect Day I would wake up a_____________________
I would wake up a_____________________
Te rs hing I would do is____________
Te rs hing I would do is____________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ __________________________________ __________________________________ __________________________________ __________________________________ Ten spend he res o he day______________ Ten spend he res o he day______________ __________________________________ __________________________________ __________________________________ __________________________________ _____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ ____ _____ __________________________________ __________________________________ I would like o spend he day wih ___________ I would like o spend he day wih ___________ __________________________________ __________________________________ Te las hing I would do beore going o bed is
Te las hing I would do beore going o bed is
__________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ I would sleep wih _____________________
I would sleep wih _____________________
. . . and dream abou ______________
. . . and dream abou ______________
____________ _____________ ________ ____________ ____________ _________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ 32
33
My Perfect Day I would wake up a_____________________
I would wake up a_____________________
Te rs hing I would do is____________
Te rs hing I would do is____________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ __________________________________ __________________________________ __________________________________ __________________________________ Ten spend he res o he day______________ Ten spend he res o he day______________ __________________________________ __________________________________ __________________________________ __________________________________ _____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ ____ _____ __________________________________ __________________________________ I would like o spend he day wih ___________ I would like o spend he day wih ___________ __________________________________ __________________________________ Te las hing I would do beore going o bed is
Te las hing I would do beore going o bed is
__________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ I would sleep wih _____________________
I would sleep wih _____________________
. . . and dream abou ______________
. . . and dream abou ______________
____________ _____________ ________ ____________ ____________ _________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ 33
32
Saturdays & Sundays On Saurdays I________ have a rouine I ollow.
On Saurdays I_______ __ have a rouine I ollow.
On Saurdays I like o___________________
On Saurdays I like o___________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ _____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ My idea o he perec Saurday nigh is ______ My idea o he perec Saurday nigh is ______ __________________________________ __________________________________ __________________________________ __________________________________ _____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ __________________________________ __________________________________ On Sundays I______ have a rouine ha I ollow.
On Sundays I______ have a rouine ha I ollow.
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ On Sundays I like o____________________
On Sundays I like o____________________
____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ 34
35
Saturdays & Sundays On Saurdays I________ have a rouine I ollow.
On Saurdays I_______ __ have a rouine I ollow.
On Saurdays I like o___________________
On Saurdays I like o___________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ _____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ My idea o he perec Saurday nigh is ______ My idea o he perec Saurday nigh is ______ __________________________________ __________________________________ __________________________________ __________________________________ _____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ __________________________________ __________________________________ On Sundays I______ have a rouine ha I ollow.
On Sundays I______ have a rouine ha I ollow.
_____ _____ ____ _____ _____ ____ ____ ____ ____ _____ ____ _____ ____ _____ _ On Sundays I like o____________________
On Sundays I like o____________________
____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ 35
34
Career When I was a child I dream o becoming a _____ When I was a child I dream o becoming a _____ __________________________________ __________________________________ Te bes job I ever had ___________________
Te bes job I ever had ___________________
__________________________________ __________________________________ Te wors job I ever had _________________
Te wors job I ever had _________________
__________________________________ __________________________________ Te job I would never wan o do is_________ Te job I would never wan o do is_________ ____________ _____________ ________ ____________ ____________ _________ My major accomplishmens include __________ My major accomplishmens include __________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ My bigges ailure was ___________________ My bigges ailure was ___________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ Currenly I earn my living as______________
Currenly I earn my living as______________
__________________________________ __________________________________ __________________________________ __________________________________ Wha I love mos abou i is________________
Wha I love mos abou i is________________
__________________________________ __________________________________ __________________________________ __________________________________ 36
37
Career When I was a child I dream o becoming a _____ When I was a child I dream o becoming a _____ __________________________________ __________________________________ Te bes job I ever had ___________________
Te bes job I ever had ___________________
__________________________________ __________________________________ Te wors job I ever had _________________
Te wors job I ever had _________________
__________________________________ __________________________________ Te job I would never wan o do is_________ Te job I would never wan o do is_________ ____________ _____________ ________ ____________ ____________ _________ My major accomplishmens include __________ My major accomplishmens include __________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ My bigges ailure was ___________________ My bigges ailure was ___________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ Currenly I earn my living as______________
Currenly I earn my living as______________
__________________________________ __________________________________ __________________________________ __________________________________ Wha I love mos abou i is________________
Wha I love mos abou i is________________
__________________________________ __________________________________ __________________________________ __________________________________ 37
36
Money Wha usraes me abou i mos is __________ Wha usraes me abou i mos is __________
I am _____ _________________ wih money.
I am ______________ ________ wih money.
__________________________________ __________________________________
I grew up in a _____________________ home
I grew up in a ___ __________________ home
__________________________________ __________________________________
and he main lesson I learned abou money was
and he main lesson I learned abou money was
Te one hing I would like o change mos abou my
Te one hing I would like o change mos abou my
_____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _____ ____
siuaion is __________________________ siuaion is __________________________
__________________________________ __________________________________
__________________________________ __________________________________
I end o spend money ___________________ I end o spend money ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
I I had i o do all over again I would ________ I I had i o do all over again I would ________
My atiude oward money is ______________ My atiude oward money is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
I currenly have he ollowing moneary accouns/ I currenly have he ollowing moneary accouns/
__________________________________ __________________________________
sources _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I have _____________________ credi cards.
I have _____________________ credi cards.
My dream career is o __________________ My dream career is o __________________
I pay my bills _________________________
I pay my bills _________________________
__________________________________ __________________________________
I sick o a budge ______________________ I sick o a budge ______________________
___________ _____________ _________ ____________ ____________ _________
I balance my checkbook __________________
__________________________________ __________________________________
My credi raing is _____________________ My credi raing is _____________________
38
sources _____________________________
I balance my checkbook __________________
39
Money Wha usraes me abou i mos is __________ Wha usraes me abou i mos is __________
I am _____ _________________ wih money.
I am ______________ ________ wih money.
__________________________________ __________________________________
I grew up in a _____________________ home
I grew up in a ___ __________________ home
__________________________________ __________________________________
and he main lesson I learned abou money was
and he main lesson I learned abou money was
Te one hing I would like o change mos abou my
Te one hing I would like o change mos abou my
_____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _____ ____
siuaion is __________________________ siuaion is __________________________
__________________________________ __________________________________
__________________________________ __________________________________
I end o spend money ___________________ I end o spend money ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
I I had i o do all over again I would ________ I I had i o do all over again I would ________
My atiude oward money is ______________ My atiude oward money is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
I currenly have he ollowing moneary accouns/ I currenly have he ollowing moneary accouns/
__________________________________ __________________________________
sources _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I have _____________________ credi cards.
I have _____________________ credi cards.
My dream career is o __________________ My dream career is o __________________
I pay my bills _________________________
I pay my bills _________________________
__________________________________ __________________________________
I sick o a budge ______________________ I sick o a budge ______________________
___________ _____________ _________ ____________ ____________ _________
I balance my checkbook __________________
__________________________________ __________________________________
My credi raing is _____________________ My credi raing is _____________________
sources _____________________________
I balance my checkbook __________________
39
38
Music & Books I ________ preer o handle my own nances.
I ________ preer o handle my own nances.
ypes o music I like ___________________ ypes o music I like ___________________
My ousanding debs include _____________ My ousanding debs include _____________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Music ha inspires me ___________________ Music ha inspires me ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Music I like o dance o __________________ Music I like o dance o __________________
My views on lending money o a iend ________ My views on lending money o a iend ________
__________________________________ __________________________________
__________________________________ __________________________________
Music I grew up on _____________________ Music I grew up on _____________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te song ha brings back he mos memories ____ Te song ha brings back he mos memories ____
__________________________________ __________________________________
__________________________________
__________________________________ __________________________________
Songs I nd mysel singing in he shower _______ Songs I nd mysel singing in he shower _______
When asked by a ransien or money, I usually
When asked by a ransien or money, I usually
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
My musical abiliies consis o _____________ My musical abiliies consis o _____________
__________________________________ __________________________________
__________________________________ __________________________________
I __________________ know my ne worh and
I __________________ know my ne worh and
__________________________________ __________________________________
i is approximaely_____________________ i is approximaely_____________________
I I could play any insrumen i would be _______ I I could play any insrumen i would be _______
__________________________________
__________________________________ __________________________________
40
. . . because _____________________
. . . because _____________________
____________________________
____________________________ 41
Music & Books I ________ preer o handle my own nances.
I ________ preer o handle my own nances.
ypes o music I like ___________________ ypes o music I like ___________________
My ousanding debs include _____________ My ousanding debs include _____________
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Music ha inspires me ___________________ Music ha inspires me ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Music I like o dance o __________________ Music I like o dance o __________________
My views on lending money o a iend ________ My views on lending money o a iend ________
__________________________________ __________________________________
__________________________________ __________________________________
Music I grew up on _____________________ Music I grew up on _____________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te song ha brings back he mos memories ____ Te song ha brings back he mos memories ____
__________________________________ __________________________________
__________________________________
__________________________________ __________________________________
Songs I nd mysel singing in he shower _______ Songs I nd mysel singing in he shower _______
When asked by a ransien or money, I usually
When asked by a ransien or money, I usually
____________ _____________ ________ ___________ ____________ __________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
My musical abiliies consis o _____________ My musical abiliies consis o _____________
__________________________________ __________________________________
__________________________________ __________________________________
I __________________ know my ne worh and
I __________________ know my ne worh and
__________________________________ __________________________________
i is approximaely_____________________ i is approximaely_____________________
I I could play any insrumen i would be _______ I I could play any insrumen i would be _______
__________________________________
__________________________________ __________________________________ . . . because _____________________
. . . because _____________________
____________________________
____________________________ 41
40
c T he bes concer I ever wen o was ___________
Te bes concer I ever wen o was ___________
My views on lending books _______________ My views on lending books _______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Someday I would like o see _____________ Someday I would like o see _____________
My avorie:
My avorie:
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
musicians are __________________
musicians are __________________
Te ypes o books I like o read are ___________ Te ypes o books I like o read are ___________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
soundrack/CD _________________
soundrack/CD _________________
__________________________________ __________________________________
____________________________
____________________________
Te bes book I ever read was ______________ Te bes book I ever read was ______________
auhors are ____________________
auhors are ____________________
__________________________________ __________________________________
____________________________
____________________________
Wors book I ever read was ________________ Wors book I ever read was ________________
____________________________
____________________________
__________________________________ __________________________________
ime o read ___________________
ime o read ___________________
. . . because _____________________
. . . because _____________________
place o read _________________ _
place o read _________________ _
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
book o recommend_______________
book o recommend_______________
Te book ha changed me was _____________ Te book ha changed me was _____________
____________________________
____________________________
__________________________________ __________________________________
airyale ______________________
airyale ______________________
. . . because _____________________
. . . because _____________________
____________________________
____________________________
____________________________
____________________________
classic _______________________
classic _______________________
____________________________
____________________________
____________________________
____________________________
42
43
c T he bes concer I ever wen o was ___________
Te bes concer I ever wen o was ___________
My views on lending books _______________ My views on lending books _______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Someday I would like o see _____________ Someday I would like o see _____________
My avorie:
My avorie:
____ _____ ____ _____ ____ _____ _____ ____ _____ _____ ____ _____ _____ ____
musicians are __________________
musicians are __________________
Te ypes o books I like o read are ___________ Te ypes o books I like o read are ___________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
soundrack/CD _________________
soundrack/CD _________________
__________________________________ __________________________________
____________________________
____________________________
Te bes book I ever read was ______________ Te bes book I ever read was ______________
auhors are ____________________
auhors are ____________________
__________________________________ __________________________________
____________________________
____________________________
Wors book I ever read was ________________ Wors book I ever read was ________________
____________________________
____________________________
__________________________________ __________________________________
ime o read ___________________
ime o read ___________________
. . . because _____________________
. . . because _____________________
place o read _________________ _
place o read _________________ _
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
book o recommend_______________
book o recommend_______________
Te book ha changed me was _____________ Te book ha changed me was _____________
____________________________
____________________________
__________________________________ __________________________________
airyale ______________________
airyale ______________________
. . . because _____________________
. . . because _____________________
____________________________
____________________________
____________________________
____________________________
classic _______________________
classic _______________________
____________________________
____________________________
____________________________
____________________________ 43
42
Movies & Television ypes o movies I like ___________________
ypes o movies I like ___________________
____________ _____________ ________ ___________ ____________ __________ Please, no ______________________movies.
Please, no ______________________movies.
Funnies movie I ever saw ________________
Funnies movie I ever saw ________________
__________________________________ __________________________________ Scaries movie I ever saw _________________
Scaries movie I ever saw _________________
__________________________________ __________________________________ Wors movie I ever saw __________________
Wors movie I ever saw __________________
__________________________________ __________________________________ Movies ha bring a smile _________________ Movies ha bring a smile _________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ Movies ha make me cry _________________ Movies ha make me cry _________________ __________________________________ __________________________________ __________________________________ __________________________________ I someone were o play me in a movie i would be
I someone were o play me in a movie i would be
__________________________________ __________________________________ . . . because _____________________
. . . because _____________________
____________________________
____________________________
ypes o shows I can’ sand ______________
ypes o shows I can’ sand ______________
__________________________________ __________________________________ 44
45
Movies & Television ypes o movies I like ___________________
ypes o movies I like ___________________
____________ _____________ ________ ___________ ____________ __________ Please, no ______________________movies.
Please, no ______________________movies.
Funnies movie I ever saw ________________
Funnies movie I ever saw ________________
__________________________________ __________________________________ Scaries movie I ever saw _________________
Scaries movie I ever saw _________________
__________________________________ __________________________________ Wors movie I ever saw __________________
Wors movie I ever saw __________________
__________________________________ __________________________________ Movies ha bring a smile _________________ Movies ha bring a smile _________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ Movies ha make me cry _________________ Movies ha make me cry _________________ __________________________________ __________________________________ __________________________________ __________________________________ I someone were o play me in a movie i would be
I someone were o play me in a movie i would be
__________________________________ __________________________________ . . . because _____________________
. . . because _____________________
____________________________
____________________________
ypes o shows I can’ sand ______________
ypes o shows I can’ sand ______________
__________________________________ __________________________________ 45
44
c Shows I grew up waching _______ _________ Shows I grew up waching _________________
My avorie:
My avorie:
__________________________________ __________________________________
movie sars ____________________
movie sars ____________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
V characer I am mos like_______________ V characer I am mos like_______________
____________________________
____________________________
__________________________________ __________________________________
heaer _______________________
heaer _______________________
I like o wach V in he _____________ room. I like o wach V in he _____________ room.
snacks a he heaer ______________
snacks a he heaer ______________
I like o ea __________________________ I like o ea __________________________
____________________________
____________________________
__________________ while I’m waching V. __________________ while I’m waching V.
____________________________
____________________________
My views on he remoe conrol_____________ My views on he remoe conrol_____________
V shows _____________________
V shows _____________________
__________________________________ __________________________________
____________________________
____________________________
I _______________ all asleep wih he V on.
I _______________ all asleep wih he V on.
____________________________
____________________________
My avorie:
My avorie:
____________________________
____________________________
movies _______________________
movies _______________________
morning show __________ ________
morning show ____________ ______
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
alk show hos __________________
alk show hos __________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
si-com _______________________
si-com _______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
mini-seri es was _______________ __
mini-seri es was ______________ ___
____________________________
____________________________
____________________________
____________________________
46
47
c Shows I grew up waching _______ _________ Shows I grew up waching _________________
My avorie:
My avorie:
__________________________________ __________________________________
movie sars ____________________
movie sars ____________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
V characer I am mos like_______________ V characer I am mos like_______________
____________________________
____________________________
__________________________________ __________________________________
heaer _______________________
heaer _______________________
I like o wach V in he _____________ room. I like o wach V in he _____________ room.
snacks a he heaer ______________
snacks a he heaer ______________
I like o ea __________________________ I like o ea __________________________
____________________________
____________________________
__________________ while I’m waching V. __________________ while I’m waching V.
____________________________
____________________________
My views on he remoe conrol_____________ My views on he remoe conrol_____________
V shows _____________________
V shows _____________________
__________________________________ __________________________________
____________________________
____________________________
I _______________ all asleep wih he V on.
I _______________ all asleep wih he V on.
____________________________
____________________________
My avorie:
My avorie:
____________________________
____________________________
movies _______________________
movies _______________________
morning show __________ ________
morning show ____________ ______
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
alk show hos __________________
alk show hos __________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
si-com _______________________
si-com _______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
mini-seri es was _______________ __
mini-seri es was ______________ ___
____________________________
____________________________
____________________________
____________________________ 47
46
Sports & Games Te aciviy I’m bes a is _________________
Te aciviy I’m bes a is _________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Games I like o play _____________________
Games I like o play _____________________
____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ Spors & aciviies I don’ like _____________ Spors & aciviies I don’ like _____________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ My avorie:
48
My avorie:
spors o paricipae in ____________
spors o paricipae in ____________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
spors o wach _________________
spors o wach _________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________ 49
Sports & Games Te aciviy I’m bes a is _________________
Te aciviy I’m bes a is _________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ Games I like o play _____________________
Games I like o play _____________________
____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ Spors & aciviies I don’ like _____________ Spors & aciviies I don’ like _____________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ My avorie:
My avorie:
spors o paricipae in ____________
spors o paricipae in ____________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
spors o wach _________________
spors o wach _________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________ 49
48
Shopping My avorie:
My avorie:
My avorie:
My avorie:
leisure aciviies _________________
leisure aciviies _________________
ciy o shop in __________________
ciy o shop in __________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
mall _________________________
mall _________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
sores o shop in ______ ___________
sores o shop in _____________ ____
____________________________
____________________________
____________________________
____________________________
physical aciviies ________________
physical aciviies ________________
____________________________
____________________________
____________________________
____________________________
websies______________________
websies______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
caalogs ______________________
caalogs ______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
designers ______________________
designers ______________________
____________________________
____________________________
____________________________
____________________________
colors or clohes _________________
colors or clohes _________________
____________________________
____________________________
sleepwear _____________________
sleepwear _____________________
____________________________
____________________________
agrances _____________________
agrances _____________________
____________________________
____________________________
50
51
Shopping My avorie:
My avorie:
My avorie:
My avorie:
leisure aciviies _________________
leisure aciviies _________________
ciy o shop in __________________
ciy o shop in __________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
mall _________________________
mall _________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
sores o shop in ______ ___________
sores o shop in _____________ ____
____________________________
____________________________
____________________________
____________________________
physical aciviies ________________
physical aciviies ________________
____________________________
____________________________
____________________________
____________________________
websies______________________
websies______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
caalogs ______________________
caalogs ______________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
designers ______________________
designers ______________________
____________________________
____________________________
____________________________
____________________________
colors or clohes _________________
colors or clohes _________________
____________________________
____________________________
sleepwear _____________________
sleepwear _____________________
____________________________
____________________________
agrances _____________________
agrances _____________________
____________________________
____________________________ 51
50
Things I Like Fabrics I love _________________________
Fabrics I love _________________________
My absolue avorie hing in he world is ______ My absolue avorie hing in he world is ______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Fabrics I dislike _______________________
Fabrics I dislike _______________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I like clohes ha are ____________________
My avorie:
I like clohes ha are ____________________
My avorie:
__________________________________ __________________________________
color _________________________
color _________________________
My oldes piece o clohing is ______________ My oldes piece o clohing is ______________
sounds______________________
sounds______________________
___________ _____________ _________ ___________ ____________ __________
smell________________________
smell________________________
I love i because _________________
I love i because _________________
gemsones_____________________
gemsones_____________________
____________________________
____________________________
fowers_______________________
fowers_______________________
rees _________________________
rees _________________________
My sizes are:
My sizes are:
dress/sui _____________________
dress/sui _____________________
collecibles _____________________
collecibles _____________________
blouse/shir___________________
blouse/shir___________________
____________________________
____________________________
pans ________________________
pans ________________________
car __________________________
car __________________________
shoe_________________________
shoe_________________________
words________________________
words________________________
socks/panyhose _________________
socks/panyhose _________________
quoe________________________
quoe________________________
underwear_____________________
underwear_____________________
____________________________
____________________________
bahing sui ____________________
bahing sui ____________________
____________________________
____________________________
ha________________________
ha________________________
day o he week__________________
day o he week__________________
ring_________________________
ring_________________________
season________________________
season________________________
52
53
Things I Like Fabrics I love _________________________
Fabrics I love _________________________
My absolue avorie hing in he world is ______ My absolue avorie hing in he world is ______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Fabrics I dislike _______________________
Fabrics I dislike _______________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I like clohes ha are ____________________
My avorie:
I like clohes ha are ____________________
My avorie:
__________________________________ __________________________________
color _________________________
color _________________________
My oldes piece o clohing is ______________ My oldes piece o clohing is ______________
sounds______________________
sounds______________________
___________ _____________ _________ ___________ ____________ __________
smell________________________
smell________________________
I love i because _________________
I love i because _________________
gemsones_____________________
gemsones_____________________
____________________________
____________________________
fowers_______________________
fowers_______________________
rees _________________________
rees _________________________
My sizes are:
My sizes are:
dress/sui _____________________
dress/sui _____________________
collecibles _____________________
collecibles _____________________
blouse/shir___________________
blouse/shir___________________
____________________________
____________________________
pans ________________________
pans ________________________
car __________________________
car __________________________
shoe_________________________
shoe_________________________
words________________________
words________________________
socks/panyhose _________________
socks/panyhose _________________
quoe________________________
quoe________________________
underwear_____________________
underwear_____________________
____________________________
____________________________
bahing sui ____________________
bahing sui ____________________
____________________________
____________________________
ha________________________
ha________________________
day o he week__________________
day o he week__________________
ring_________________________
ring_________________________
season________________________
season________________________ 53
52
Things I Don’t Like Te bes way o surprise me:
Te bes way o surprise me:
Sounds _____________________________
Sounds _____________________________
a work _______________________
a work _______________________
Smells _____________________________
Smells _____________________________
____________________________
____________________________
Words _____________________________
Words _____________________________
____________________________
____________________________
Colors _____________________________
Colors _____________________________
____________________________
____________________________
People ha do ________________________
People ha do ________________________
when I ge home_________________
when I ge home_________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
People ha say ________________________
on he weekends _________________
on he weekends _________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
People ha __________________________
on my birhday__________________
on my birhday__________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Pe peeves ___________________________
or no reason a all________________
or no reason a all________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
54
People ha say ________________________
People ha __________________________
Pe peeves ___________________________
55
Things I Don’t Like Te bes way o surprise me:
Te bes way o surprise me:
Sounds _____________________________
Sounds _____________________________
a work _______________________
a work _______________________
Smells _____________________________
Smells _____________________________
____________________________
____________________________
Words _____________________________
Words _____________________________
____________________________
____________________________
Colors _____________________________
Colors _____________________________
____________________________
____________________________
People ha do ________________________
People ha do ________________________
when I ge home_________________
when I ge home_________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
People ha say ________________________
on he weekends _________________
on he weekends _________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
People ha __________________________
on my birhday__________________
on my birhday__________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Pe peeves ___________________________
or no reason a all________________
or no reason a all________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
People ha say ________________________
People ha __________________________
Pe peeves ___________________________
55
54
Spirituality As a child, my religious upbringing was _______ As a child, my religious upbringing was _______ __________________________________ __________________________________ Wha I believe abou God now is ________ ____
Wha I believe abou God now is ____________
__________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ My image o God is _____________________ My image o God is _____________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ oday my spiriual pracice includes __________
oday myspiriual praci ce includes __________
__________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ Daily riuals I pracice are ________________ Daily riuals I pracice are ________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ 56
57
Spirituality As a child, my religious upbringing was _______ As a child, my religious upbringing was _______ __________________________________ __________________________________ Wha I believe abou God now is ________ ____
Wha I believe abou God now is ____________
__________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ My image o God is _____________________ My image o God is _____________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ oday my spiriual pracice includes __________
oday myspiriual praci ce includes __________
__________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ __________________________________ __________________________________ __________________________________ __________________________________ Daily riuals I pracice are ________________ Daily riuals I pracice are ________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ 57
56
c I also believe in ________________________ I also believe in ________________________
When I die I would like my uneral/memorial o
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
I plan o raise my children o believe ha _______ I plan o raise my children o believe ha _______
____________ ____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I wan o be ______ buried/ ______cremaed
I have ______________ a mysical experience. I have ____________ __ a mysical experience.
When I die I would like my uneral/memorial o
I wan o be ______ buried/ ______cremaed
. . . when I die, and have my remains
. . . when I die, and have my remains
I was ________________________
I was ________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
I am _________ organ donor.
____________________________
____________________________
I have _______made a las will and esamen I have _______made a las will and esamen
Te spiriual leaders (living or deceased) I would
Te spiriual leaders (living or deceased) I would
I am _________ organ donor.
. . . and you can nd a copy o i
. . . and you can nd a copy o i
like o mee are ________________________ like o mee are ________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
My epiaph will read ___________________ My epiaph will read ___________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
I believe ha when you die you ______________ I believe ha when you die you ______________
__________________________________ __________________________________
__________________________________ __________________________________
____________ ____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
58
59
c I also believe in ________________________ I also believe in ________________________
When I die I would like my uneral/memorial o
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
I plan o raise my children o believe ha _______ I plan o raise my children o believe ha _______
____________ ____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I wan o be ______ buried/ ______cremaed
I have ______________ a mysical experience. I have ____________ __ a mysical experience.
When I die I would like my uneral/memorial o
I wan o be ______ buried/ ______cremaed
. . . when I die, and have my remains
. . . when I die, and have my remains
I was ________________________
I was ________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
____________________________
I am _________ organ donor.
____________________________
____________________________
I have _______made a las will and esamen I have _______made a las will and esamen
Te spiriual leaders (living or deceased) I would
Te spiriual leaders (living or deceased) I would
I am _________ organ donor.
. . . and you can nd a copy o i
. . . and you can nd a copy o i
like o mee are ________________________ like o mee are ________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
My epiaph will read ___________________ My epiaph will read ___________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
I believe ha when you die you ______________ I believe ha when you die you ______________
__________________________________ __________________________________
__________________________________ __________________________________
____________ ____________ _________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________ 59
58
Dating I ____________________ o be sponaneous.
I ____________________ o be sponaneous.
Te rs hing ha atracs me o someone is ____ Te rs hing ha atracs me o someone is ____ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ Te qualiies I look or are ________________
Te qualiies I look or are ________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ My idea o a grea dae is _________________ My idea o a grea dae is _________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ Oher ideas or daes I would enjoy are ________ Oher ideas or daes I would enjoy are ________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ __________________________________ __________________________________ 60
61
Dating I ____________________ o be sponaneous.
I ____________________ o be sponaneous.
Te rs hing ha atracs me o someone is ____ Te rs hing ha atracs me o someone is ____ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ Te qualiies I look or are ________________
Te qualiies I look or are ________________
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ My idea o a grea dae is _________________ My idea o a grea dae is _________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ Oher ideas or daes I would enjoy are ________ Oher ideas or daes I would enjoy are ________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ____________ ____________ _________ __________________________________ __________________________________ __________________________________ __________________________________ 61
60
Romance Unusual daes I’d love o go on: ____________ Unusual daes I’d love o go on: ____________
I consider mysel o be ____________ romanic.
I consider mysel o be ____________ romanic.
__________________________________ __________________________________
Romance is a _____________ prioriy in my lie.
Romance is a _____________ prioriy in my lie.
__________________________________ __________________________________
My avorie ime o day or romance is ________ My avorie ime o day or romance is ________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
My idea o a romanic encouner is __________ My idea o a romanic encouner is __________
Te kinds o dancing I like are ____ __________ Te kinds o dancing I like are _____ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
My views on blind daes are _______________ My views on blind daes are _______________
One o my anasies or a romanic nigh is o ____ One o my anasies or a romanic nigh is o ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Tings I would no enjoy doing on a dae are _____ Tings I would no enjoy doing on a dae are ____
I hink he mos romani c place in he world is ____ I hink he mos romani c place in he world is ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te music ha pus me in a romanic mood is ____ Te music ha pus me in a romanic mood is ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
62
63
Romance Unusual daes I’d love o go on: ____________ Unusual daes I’d love o go on: ____________
I consider mysel o be ____________ romanic.
I consider mysel o be ____________ romanic.
__________________________________ __________________________________
Romance is a _____________ prioriy in my lie.
Romance is a _____________ prioriy in my lie.
__________________________________ __________________________________
My avorie ime o day or romance is ________ My avorie ime o day or romance is ________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
My idea o a romanic encouner is __________ My idea o a romanic encouner is __________
Te kinds o dancing I like are ____ __________ Te kinds o dancing I like are _____ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
__________________________________ __________________________________
__________________________________ __________________________________
My views on blind daes are _______________ My views on blind daes are _______________
One o my anasies or a romanic nigh is o ____ One o my anasies or a romanic nigh is o ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Tings I would no enjoy doing on a dae are _____ Tings I would no enjoy doing on a dae are ____
I hink he mos romani c place in he world is ____ I hink he mos romani c place in he world is ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te music ha pus me in a romanic mood is ____ Te music ha pus me in a romanic mood is ____
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________ 63
62
c Te movies ha pu me in a romanic mood are Te movies ha pu me in a romanic mood are
When I ask or romance, wha I really wan is ___
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
Te ollowing hings pu a damper on romance Te ollowing hings pu a damper on romance
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
Te mos signican romanic relaionships in my
Te mos signican romanic relaionships in my
___________ _____________ _________ ___________ ____________ __________
lie have been _________________________
lie have been _________________________
My idea o a very romanic gi is ___________ My idea o a very romanic gi is ___________
__________________________________ __________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
__________________________________ __________________________________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
__________________________________ __________________________________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
__________________________________ __________________________________
Te leas romanic gi I every received om anyone Te leas romanic gi I every received om anyone
__________________________________ __________________________________
is _________________________________ is _________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
Wha really worked in my relaionships in he pas Wha really worked in my relaionships in he pas
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
was_____________________________ was_____________________________
Te mos romanic hing anyone has ever done or Te mos romanic hing anyone has ever done or
__________________________________ __________________________________
me was _____________________________ me was _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
64
When I ask or romance, wha I really wan is ___
65
c Te movies ha pu me in a romanic mood are Te movies ha pu me in a romanic mood are
When I ask or romance, wha I really wan is ___
When I ask or romance, wha I really wan is ___
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
Te ollowing hings pu a damper on romance Te ollowing hings pu a damper on romance
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
Te mos signican romanic relaionships in my
Te mos signican romanic relaionships in my
___________ _____________ _________ ___________ ____________ __________
lie have been _________________________
lie have been _________________________
My idea o a very romanic gi is ___________ My idea o a very romanic gi is ___________
__________________________________ __________________________________
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
__________________________________ __________________________________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
__________________________________ __________________________________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
__________________________________ __________________________________
Te leas romanic gi I every received om anyone Te leas romanic gi I every received om anyone
__________________________________ __________________________________
is _________________________________ is _________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
Wha really worked in my relaionships in he pas Wha really worked in my relaionships in he pas
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
was_____________________________ was_____________________________
Te mos romanic hing anyone has ever done or Te mos romanic hing anyone has ever done or
__________________________________ __________________________________
me was _____________________________ me was _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________ 65
64
Relationships Te ormer lover I would like o know beter is
Te ormer lover I would like o know beter is
___________ _____________ _________ ___________ ____________ __________
I _________ being in a commited relaionship.
I _________ being in a commited relaionship.
Mos o my iends are ___________________ Mos o my iends are ___________________
because _______________________
because _______________________
in a commited relaionship.
____________________________
____________________________
My role models or relaionships are __________ My role models or relaionships are __________
____________________________
____________________________
__________________________________ __________________________________
Te airyale, which has mos infuenced my hink-
Te airyale, which has mos infuenced my hink-
__________________________________ __________________________________
ing abou romance, was__________________
ing abou romance, was__________________
__________________________________ __________________________________
__________________________________ __________________________________
in a commited relaionship.
Te woman who mos infuenced me in he area o a
Te woman who mos infuenced me in he area o a relaionship was _______________________
because _______________________
because _______________________
relaionship was _______________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Te man who has mos infuenced me was_______
Te songs and movies, which have mos infuenced
Te songs and movies, which have mos infuenced
Te man who has mos infuenced me was_______
__________________________________ __________________________________
my hinking abou romance were ___________ my hinking abou romance were ___________
Te longes plaonic relaionship I have had is
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
____________ _____________ ________ ___________ ____________ __________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
Te longes romanic relaionship I have had is
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ___________ ____________ __________
I a romanic relaionship needed help, I would
I a romanic relaionship needed help, I would
Te recurring complains I’ve had abou relaion-
Te recurring complains I’ve had abou relaion-
_________be willing o goo a couples counselor . _________be willing o go o a couples counselor .
ships (romanic or plaonic) ha I’ve been in is
ships (romanic or plaonic) ha I’ve been in is
My posiion on monogamy is ______________ My posiion on monogamy is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
66
Te longes plaonic relaionship I have had is
Te longes romanic relaionship I have had is
67
Relationships Te ormer lover I would like o know beter is
Te ormer lover I would like o know beter is
___________ _____________ _________ ___________ ____________ __________
I _________ being in a commited relaionship.
I _________ being in a commited relaionship.
Mos o my iends are ___________________ Mos o my iends are ___________________
because _______________________
because _______________________
in a commited relaionship.
____________________________
____________________________
My role models or relaionships are __________ My role models or relaionships are __________
____________________________
____________________________
__________________________________ __________________________________
Te airyale, which has mos infuenced my hink-
Te airyale, which has mos infuenced my hink-
__________________________________ __________________________________
ing abou romance, was__________________
ing abou romance, was__________________
__________________________________ __________________________________
__________________________________ __________________________________
in a commited relaionship.
Te woman who mos infuenced me in he area o a
Te woman who mos infuenced me in he area o a relaionship was _______________________
because _______________________
because _______________________
relaionship was _______________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
Te man who has mos infuenced me was_______
Te songs and movies, which have mos infuenced
Te songs and movies, which have mos infuenced
Te man who has mos infuenced me was_______
__________________________________ __________________________________
my hinking abou romance were ___________ my hinking abou romance were ___________
Te longes plaonic relaionship I have had is
Te longes plaonic relaionship I have had is
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
____________ _____________ ________ ___________ ____________ __________
____ _____ ____ _____ ____ _____ _____ ____ ____ ____ _____ _____ ____ _____ _
Te longes romanic relaionship I have had is
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _
____________ _____________ ________ ___________ ____________ __________
I a romanic relaionship needed help, I would
I a romanic relaionship needed help, I would
Te recurring complains I’ve had abou relaion-
Te recurring complains I’ve had abou relaion-
_________be willing o goo a couples counselor . _________be willing o go o a couples counselor .
ships (romanic or plaonic) ha I’ve been in is
ships (romanic or plaonic) ha I’ve been in is
My posiion on monogamy is ______________ My posiion on monogamy is ______________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te longes romanic relaionship I have had is
67
66
c Te recurring praises I’ve had abou relaionships Te recurring praises I’ve had abou relaionships
I can olerae jus abou anyhing in a relaionship
I can olerae jus abou anyhing in a relaionship
(romanic or plaonic) ___________________ (romanic or plaonic) ___________________
excep _____________________________
excep _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te lessons(s) I have learned om relaionships
I I had a crysal ball, I would predic ha in ve
Te lessons(s) I have learned om relaionships
I I had a crysal ball, I would predic ha in ve
___________ _____________ _________ ____________ ____________ _________
years ______________________________ years ______________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te lessons(s) I sill have o learn om relaionships
Te lessons(s) I sill have o learn om relaionships
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I believe ha pre-nupial agreemens are______ I believe ha pre-nupial agreemens are______
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
My parens are/were married or _______ years. My parens are/were married or _______ years .
__________________________________ __________________________________
I was a ________________marriage.
I was a ________________marriage.
My ideal wedding would be _______________ My ideal wedding would be _______________
How i aeced me _______________
How i aeced me _______________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
68
69
c Te recurring praises I’ve had abou relaionships Te recurring praises I’ve had abou relaionships
I can olerae jus abou anyhing in a relaionship
I can olerae jus abou anyhing in a relaionship
(romanic or plaonic) ___________________ (romanic or plaonic) ___________________
excep _____________________________
excep _____________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te lessons(s) I have learned om relaionships
I I had a crysal ball, I would predic ha in ve
Te lessons(s) I have learned om relaionships
I I had a crysal ball, I would predic ha in ve
___________ _____________ _________ ____________ ____________ _________
years ______________________________ years ______________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Te lessons(s) I sill have o learn om relaionships
Te lessons(s) I sill have o learn om relaionships
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
I believe ha pre-nupial agreemens are______ I believe ha pre-nupial agreemens are______
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
My parens are/were married or _______ years. My parens are/were married or _______ years .
__________________________________ __________________________________
I was a ________________marriage.
I was a ________________marriage.
My ideal wedding would be _______________ My ideal wedding would be _______________
How i aeced me _______________
How i aeced me _______________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
__________________________________ __________________________________ 69
68
Sex I was ______ years old he rs ime I had sex.
I was ______ years old he rs ime I had sex.
Te bes par abou i was___________
Te bes par abou i was___________
____________________________
____________________________
Te wors par was_______________
Te wors par was_______________
____________________________
____________________________
I hink he hree sexies men on he plane oday
I hink he hree sexies men on he plane oday
are ________________________________
are ________________________________
__________________________________ __________________________________ __________________________________ __________________________________ I hink he hree sexies women on he plane oday
I hink he hree sexies women on he plane oday
are ________________________________
are ________________________________
__________________________________ __________________________________ __________________________________ __________________________________ Someone I’ve always waned o make love wih is
Someone I’ve always waned o make love wih is
____________ _____________ ________ ___________ ____________ __________ Te bes sexual escapade I ever had was _______ Te bes sexual escapade I ever had was _______ __________________________________ __________________________________ __________________________________ __________________________________
70
Te wors was _____________ _____
Te wors was __________________
____________________________
____________________________
____________________________
____________________________ 71
Sex I was ______ years old he rs ime I had sex.
I was ______ years old he rs ime I had sex.
Te bes par abou i was___________
Te bes par abou i was___________
____________________________
____________________________
Te wors par was_______________
Te wors par was_______________
____________________________
____________________________
I hink he hree sexies men on he plane oday
I hink he hree sexies men on he plane oday
are ________________________________
are ________________________________
__________________________________ __________________________________ __________________________________ __________________________________ I hink he hree sexies women on he plane oday
I hink he hree sexies women on he plane oday
are ________________________________
are ________________________________
__________________________________ __________________________________ __________________________________ __________________________________ Someone I’ve always waned o make love wih is
Someone I’ve always waned o make love wih is
____________ _____________ ________ ___________ ____________ __________ Te bes sexual escapade I ever had was _______ Te bes sexual escapade I ever had was _______ __________________________________ __________________________________ __________________________________ __________________________________ Te wors was _____________ _____
Te wors was __________________
____________________________
____________________________
____________________________
____________________________ 71
70
c Favorie posiions _____________________ F avorie posiions _____________________
Special hings I really like _________________
Special hings I really like _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Leas avorie __________________
Leas avorie __________________
Erogenous zones ______________________ Erogenous zones ______________________
____________________________
____________________________
__________________________________ __________________________________
Favorie locaions _____________________ Favorie locaions _____________________
__________________________________ __________________________________
__________________________________ __________________________________
I am mos in he mood or sex ______________ I am mos in he mood or sex ______________
__________________________________ __________________________________
__________________________________ __________________________________
Leas avorie __________________
Leas avorie __________________
Overall, I am ___ _____________ aecionae.
Overall, I am _____ ___________ aecionae.
____________________________
____________________________
Public displays o aecion make me__________
Public displays o aecion make me__________
Favorie ime o day o make love ___________ Favorie ime o day o make love __________
__________________________________ __________________________________
__________________________________ ____________ ____________ _________
My avorie par o my body is ______________ My avorie par o my body is ______________
Leas avorie __________________
Leas avorie __________________
__________________________________ __________________________________
____________________________
____________________________
Te par o my body I mos like o have ouched is Te par o my body I mos like o have ouched is
Favorie lighing _______________________ Favorie lighing _______________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Kissing or me is like____________________
Favorie music _______________________ Favorie music _______________________
__________________________________ __________________________________
__________________________________ __________________________________
My ideal parner would like o have sex________ My ideal parner would like o have sex________
Somehing I’ve always waned o ry and haven’ is
imes a _____________________________
Somehing I’ve always waned o ry and haven’ is
Kissing or me is like____________________
imes a _____________________________
__________________________________ __________________________________
And i could ake as long as_______________ And i could ake as long as_______________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
72
73
c Favorie posiions _____________________ F avorie posiions _____________________
Special hings I really like _________________
Special hings I really like _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Leas avorie __________________
Leas avorie __________________
Erogenous zones ______________________ Erogenous zones ______________________
____________________________
____________________________
__________________________________ __________________________________
Favorie locaions _____________________ Favorie locaions _____________________
__________________________________ __________________________________
__________________________________ __________________________________
I am mos in he mood or sex ______________ I am mos in he mood or sex ______________
__________________________________ __________________________________
__________________________________ __________________________________
Leas avorie __________________
Leas avorie __________________
Overall, I am ___ _____________ aecionae.
Overall, I am _____ ___________ aecionae.
____________________________
____________________________
Public displays o aecion make me__________
Public displays o aecion make me__________
Favorie ime o day o make love ___________ Favorie ime o day o make love __________
__________________________________ __________________________________
__________________________________ ____________ ____________ _________
My avorie par o my body is ______________ My avorie par o my body is ______________
Leas avorie __________________
Leas avorie __________________
__________________________________ __________________________________
____________________________
____________________________
Te par o my body I mos like o have ouched is Te par o my body I mos like o have ouched is
Favorie lighing _______________________ Favorie lighing _______________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
Kissing or me is like____________________
Favorie music _______________________ Favorie music _______________________
__________________________________ __________________________________
__________________________________ __________________________________
My ideal parner would like o have sex________ My ideal parner would like o have sex________
Somehing I’ve always waned o ry and haven’ is
imes a _____________________________
Somehing I’ve always waned o ry and haven’ is
Kissing or me is like____________________
imes a _____________________________
__________________________________ __________________________________
And i could ake as long as_______________ And i could ake as long as_______________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________ 73
72
Sexual Fantasies Someimes I _________________ a ”quickie.”
Someimes I _________________ a ”quickie.”
I have always waned o “do i” in he ollowing
I have always waned o “do i” in he ollowing
During sex I am _______________________ During sex I am _______________________
places ______________________________ places ______________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I would describe my orgasms as ______ _______ I would describe my orgasms as ____ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Immediaely aer orgasm I need you o _______ Immediaely aer orgasm I need you o _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Aer making love I like o _______________ Aer making love I like o _______________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
My op hree sexual anasies include _________ My op hree sexual anasies include _________
__________________________________ __________________________________
__________________________________ __________________________________
Making love during mensruaion ___________ Making love during mensruaion ___________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
My avorie sore o buy oils, loions and poions is My avorie sore o buy oils, loions and poions is
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te ype o sex ha really urns me o is _______ Te ype o sex ha really urns me o is _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
74
75
Sexual Fantasies Someimes I _________________ a ”quickie.”
Someimes I _________________ a ”quickie.”
I have always waned o “do i” in he ollowing
I have always waned o “do i” in he ollowing
During sex I am _______________________ During sex I am _______________________
places ______________________________ places ______________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
I would describe my orgasms as ______ _______ I would describe my orgasms as ____ _________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Immediaely aer orgasm I need you o _______ Immediaely aer orgasm I need you o _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
__________________________________ __________________________________
Aer making love I like o _______________ Aer making love I like o _______________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
My op hree sexual anasies include _________ My op hree sexual anasies include _________
__________________________________ __________________________________
__________________________________ __________________________________
Making love during mensruaion ___________ Making love during mensruaion ___________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
My avorie sore o buy oils, loions and poions is My avorie sore o buy oils, loions and poions is
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Te ype o sex ha really urns me o is _______ Te ype o sex ha really urns me o is _______
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________ 75
74
Holidays & Celebrations Sex oys I enjoy are _____________________ Sex oys I enjoy are _____________________
My avorie holiday is ___________________ My avorie holiday is ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
because _______________________
because _______________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
How I like o spend:
How I like o spend:
___________ _____________ _________ ____________ ____________ _________
New Year’s Eve _________________
New Year’s Eve _________________
Te kinkies hing I have ever done is _______ Te kinkies hing I have ever done is _______
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
__________________________________ __________________________________
Valenine’s Day _________________
Valenine’s Day _________________
__________________________________ __________________________________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
I ___________ sex wih more han one par ner. I ___________ sex wih more han one par ner.
____________________________
____________________________
I I knew someone was waching, I would ______ I I knew someone was waching, I would ______
____________________________
____________________________
__________________________________ __________________________________
Easer/Passover ________________
Easer/Passover ________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
I __________________________ diry alk.
____________________________
____________________________
I __________________________ diry alk. 76
77
Holidays & Celebrations Sex oys I enjoy are _____________________ Sex oys I enjoy are _____________________
My avorie holiday is ___________________ My avorie holiday is ___________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
because _______________________
because _______________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
How I like o spend:
How I like o spend:
___________ _____________ _________ ____________ ____________ _________
New Year’s Eve _________________
New Year’s Eve _________________
Te kinkies hing I have ever done is _______ Te kinkies hing I have ever done is _______
____________________________
____________________________
__________________________________ __________________________________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
__________________________________ __________________________________
Valenine’s Day _________________
Valenine’s Day _________________
__________________________________ __________________________________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
I ___________ sex wih more han one par ner. I ___________ sex wih more han one par ner.
____________________________
____________________________
I I knew someone was waching, I would ______ I I knew someone was waching, I would ______
____________________________
____________________________
__________________________________ __________________________________
Easer/Passover ________________
Easer/Passover ________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
___________ _____________ _________ ____________ ____________ _________
____________________________
____________________________
I __________________________ diry alk.
____________________________
____________________________
I __________________________ diry alk.
77
76
c Moher’s Day ________________________ Moher’s Day ________________________
Halloween ___________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Tanksgiving _________________________
Memorial Day weekend _________________ Memorial Day weekend _________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Chrismas/Hanukkah ___________________ Chrismas/Hanukkah ___________________
Faher’s Day _________________________ Faher’s Day _________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
My birhday _________________________ My birhday _________________________
Fourh o July _________________________ Fourh o July _________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
My anasy birhday celebraion consiss o _____ My anasy birhday celebraion consiss o _____
LaborDay ___________________________ LaborDay ___________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
78
Halloween ___________________________
Tanksgiving _________________________
79
c Moher’s Day ________________________ Moher’s Day ________________________
Halloween ___________________________
Halloween ___________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Tanksgiving _________________________
Memorial Day weekend _________________ Memorial Day weekend _________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
Chrismas/Hanukkah ___________________ Chrismas/Hanukkah ___________________
Faher’s Day _________________________ Faher’s Day _________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
My birhday _________________________ My birhday _________________________
Fourh o July _________________________ Fourh o July _________________________
__________________________________ __________________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
My anasy birhday celebraion consiss o _____ My anasy birhday celebraion consiss o _____
LaborDay ___________________________ LaborDay ___________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ____________ ____________ _________
____________ _____________ ________ ____________ ____________ _________
Tanksgiving _________________________
79
78
Vacations & Travel ypes o vacaions I preer ________________
ypes o vacaions I preer ________________
__________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ My dream vacaion would include __________ My dream vacaion would include __________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ Ways I like o ravel _____________________
Ways I like o ravel _____________________
__________________________________ __________________________________ __________________________________ __________________________________ Places I wan o see beore I die______________ Places I wan o see beore I die______________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ Places I have no desire o visi_______________
Places I have no desire o visi_______________
____________ _____________ ________ ___________ ____________ __________ Mos memorable childhood vacaion _________ Mos memorable childhood vacaion _________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ 80
81
Vacations & Travel ypes o vacaions I preer ________________
ypes o vacaions I preer ________________
__________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ My dream vacaion would include __________ My dream vacaion would include __________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ Ways I like o ravel _____________________
Ways I like o ravel _____________________
__________________________________ __________________________________ __________________________________ __________________________________ Places I wan o see beore I die______________ Places I wan o see beore I die______________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ ____________ _____________ ________ ___________ ____________ __________ Places I have no desire o visi_______________
Places I have no desire o visi_______________
____________ _____________ ________ ___________ ____________ __________ Mos memorable childhood vacaion _________ Mos memorable childhood vacaion _________ __________________________________ __________________________________ __________________________________ __________________________________ ____________ _____________ ________ ___________ ____________ __________ 81
80
My Future Mos memorable vacaion as an adul ________ Mos memorable vacaion as an adul ________
TebasicsIwanor mylie(marriage,children,ec.) Te basics I wan or my lie (marriage, children, ec.)
__________________________________ __________________________________
include: ____________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
I I ook a long weekend, I would go o ________ I I ook a long weekend, I would go o ________
My ideal house would be _________________ My ideal house would be _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
I I ook a week or more, I would go o _________ I I ook a week or more, I would go o _________
In ve years I expec o be _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
I plan o _______________________ working
I plan o _______________________ working
I ____________________ like o ravel alone.
I ____________________ like o ravel alone.
as soon as I am _________________ years old.
as soon as I am _________________ years old.
People I like o ravel wih are ______________
People I like o ravel wih are ______________
My oher ideas or a career include ___________ My oher ideas or a career include ___________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
82
include: ____________________________
In ve years I expec o be _________________
83
My Future Mos memorable vacaion as an adul ________ Mos memorable vacaion as an adul ________
TebasicsIwanor mylie(marriage,children,ec.) Te basics I wan or my lie (marriage, children, ec.)
__________________________________ __________________________________
include: ____________________________
__________________________________ __________________________________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
I I ook a long weekend, I would go o ________ I I ook a long weekend, I would go o ________
My ideal house would be _________________ My ideal house would be _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
I I ook a week or more, I would go o _________ I I ook a week or more, I would go o _________
In ve years I expec o be _________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
___________ _____________ _________ ___________ ____________ __________
I plan o _______________________ working
I plan o _______________________ working
I ____________________ like o ravel alone.
I ____________________ like o ravel alone.
as soon as I am _________________ years old.
as soon as I am _________________ years old.
People I like o ravel wih are ______________
People I like o ravel wih are ______________
My oher ideas or a career include ___________ My oher ideas or a career include ___________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
___________ _____________ _________ ___________ ____________ __________
____________ _____________ ________ ____________ ____________ _________
include: ____________________________
In ve years I expec o be _________________
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In Case of Emergency I I had i o do all over again, I would ________ I I had i o do all over again, I would ________
Please conac ________________________
Please conac ________________________
__________________________________ __________________________________
__________________________________
__________________________________
__________________________________ __________________________________
__________________________________
__________________________________
___________ _____________ _________ ____________ ____________ _________
home phone ____________________
home phone ____________________
___________ _____________ _________ ____________ ____________ _________
mobile phone __________________
mobile phone __________________
___________ _____________ _________ ____________ ____________ _________
email address___________________
email address___________________
__________________________________ __________________________________
____________________________
____________________________
Someone in my oce o conac _____________
Someone in my oce o conac _____________
My bucke lis:
My bucke lis:
_______ ______ _______ _______
_______ ______ _______ _______
__________________________________
__________________________________
___________________________
___________________________
oce phone ____________________
oce phone ____________________
___________________________
___________________________
___________________________
___________________________
medical _______________________
medical _______________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
denis _______________________
denis _______________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
chiropracor ____________________
chiropracor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
oher docor ____________________
oher docor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
oher docor ____________________
oher docor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
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My docors are:
My docors are:
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In Case of Emergency I I had i o do all over again, I would ________ I I had i o do all over again, I would ________
Please conac ________________________
Please conac ________________________
__________________________________ __________________________________
__________________________________
__________________________________
__________________________________ __________________________________
__________________________________
__________________________________
___________ _____________ _________ ____________ ____________ _________
home phone ____________________
home phone ____________________
___________ _____________ _________ ____________ ____________ _________
mobile phone __________________
mobile phone __________________
___________ _____________ _________ ____________ ____________ _________
email address___________________
email address___________________
__________________________________ __________________________________
____________________________
____________________________
Someone in my oce o conac _____________
Someone in my oce o conac _____________
My bucke lis:
My bucke lis:
_______ ______ _______ _______
_______ ______ _______ _______
__________________________________
__________________________________
___________________________
___________________________
oce phone ____________________
oce phone ____________________
___________________________
___________________________
___________________________
___________________________
medical _______________________
medical _______________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
denis _______________________
denis _______________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
chiropracor ____________________
chiropracor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
oher docor ____________________
oher docor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
___________________________
___________________________
oher docor ____________________
oher docor ____________________
___________________________
___________________________
phone ______________________
phone ______________________
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Miscellaneous phone numbers:
My docors are:
My docors are:
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Miscellaneous phone numbers:
name_______________________
name_______________________
phone ______________________
phone ______________________
name_______________________
name_______________________
phone ______________________
phone ______________________
name_______________________
name_______________________
phone ______________________
phone ______________________
name_______________________
name_______________________
phone ______________________
phone ______________________
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