First Name

Last Name

Phone

Email Address

What is more important to you than anything else?

What is the dominant goal or principle in your life? For example: fun, money, sports, sex, relax, serve others, be popular/famous, food, God, traveling, family, exercise, etc.

Do you have a fragmented or conflicted life? (little this, little that, want one thing but do another)

Do you have something in your life that is strong enough to sustain you when something comes your way? If so, what?

What is it that you spent most of your time doing?

What is the first thing you do when you something good happens?

What is the first thing you do when something upsets you?

What do you believe in?

What are your deal breakers? In friendships? Intimate relationships? Work?

How important is sleep to you?

What is your concept/view of your body?

Number the following 4 PERSONALITY TRAITS in order of how closely they relate to you with 1 being the strongest example of your personality and 4 as the least strong: SANGUINE-extremely extroverted, emotional, trusting, optimistic, competitive

PHELGMATIC-introvert, unemotional, indecisive, calm, laid back

MELANCHOLY-extremely introverted, anxious, suspicious, cautious, perfectionist

CHOLERIC-extrovert, assertive, goal oriented, creative, risk taker