COPYRIGHT 2017 SCOTTANTHONY.COM Page 1 of 8 · The relationship I have with my father now is: _____...
Transcript of COPYRIGHT 2017 SCOTTANTHONY.COM Page 1 of 8 · The relationship I have with my father now is: _____...
Where we are or where we are going, is often a result of where we have come from.
Our mind also hears the voices of our parents and peers who have shaped our influences and ultimately helped create the visions we have of ourselves.
Sounds SIMPLE… but, since your very young years of 4 to 7, your belief structure has either been starved or nourished.
These following questions are private and for your eyes only.
They should be kept in a safe place and answers with honest openness with yourself.
The questions are designed to be difficult and they are designed to be revealing. Many of us have had both happy or unhappy childhoods … and understanding the foundations of
our early years, helps us understand the patterns we form as young adults.
Discovering thee habits and the practices we have used to get us to where we are today is a fundamental KEY to knowing what we can each change to move us into new patterns
and choices that can bring about he changes we want in our lives .
We will now go deep inside to discover true feelings about what we felt growing up and how it has shaped our lives this far.
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PARENTS / GUARDIANS
The relationship I had with my father was: _________________________________________
It would make me feel __________________________________________________________
The relationship I have with my father now is: ______________________________________
It makes me feel ______________________________________________________________
The relationship I had with my stepfather was: _____________________________________
It would make me feel __________________________________________________________
The relationship I have with my stepfather is: ______________________________________
It makes me feel ______________________________________________________________
The memories I have with my stepfather encouraging me are: Often / Few / Rarely / Never
It would make me feel __________________________________________________________
The memories I have with my stepfather criticizing me are: Often / Few / Rarely / Never
It would make me feel __________________________________________________________
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The relationship I had with my mother was: ________________________________________
It would make me feel __________________________________________________________
The relationship I have with my mother now is: _____________________________________
It makes me feel ______________________________________________________________
The relationship I had with my stepmother was: ___________________________________
It would make me feel __________________________________________________________
The relationship I have with my stepmother now is: _________________________________
It makes me feel __________________________________________________________
The memories I have of my stepmother encouraging me are: Often / Few / Rarely / Never
It would make me feel __________________________________________________________
The memories I have with my step mother criticizing me are: Often / Few / Rarely / Never
It would make me feel __________________________________________________________
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(circle the one you agree with) The memories I have of my teachers encouraging me are: Lots, Seldom, None, Never Ever
The memories I have of my teachers makes me feel like they __________________ me.
My friends always used to call me: _______________________________________________
(circle the ones you agree with) My friends now think I am: Happy, Sad, Frustrated, Ambitious, Restless, Annoying, Intense, Dedicated, Disciplined, Calm, On edge, Excited, Happy, Unhappy, Loved, Kind, Caring, Selfish, Considerate, Un-loved, Shy, Reserved, Nervous, Anxious, Doubtful, Negative, Positive, Ready to Go or Hesitant to try new things.
My friends describe me as: _____________________________________________
My work colleagues would describe me as: _______________________________________
I would describe myself as __________________ at work.
My partner would describe me in 3 words as: 1. _________________________ 2. _________________________ 3. _________________________
My kids would describe me in three words as: 1. _________________________ 2. _________________________ 3. _________________________
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My boss would describe me as a:_________________________________________________
My confidence is important to be at a level of ____/10.
My health is important to me at a level of ____/10. I am happy with my current weight ____/10
My fitness I would rate as ____/10
I am happy with the way I balance my work / life performance ____/10.
My family think I am ‘around’ enough as opposed to working all the time ____/10.
My family would say that I am their: _________________________________
I often find myself ______________________________________ when things get frustrating.
I tend to ________________________________ when I am tired.
I get ______________________ when I have an idea.
I feel ____________________________________ when things fall into place and go right.
I find myself _____________________________________ when other people doubt me.
I feel as if _________________________________ when I run out of time to get things done.
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The consequences of not getting my health in balance is _____________________________
My plan is to ________________ my time management and create a better balance.
The one thing I remember people telling me as a child is _____________________________ The one thing I was good at as a child was ________________________________________
As an adult I now feel like I was empowered or held back as a child ___________________
As an adult I wish I had more ____________________________________________________
As a child I loved to ____________________________________________________________
When I was a teenager I used to Love ____________________________________________
It would make me feel __________________________________________________________
When I was in school I used to love ______________________________________________
It would make me feel __________________________________________________________
When I was in school I used to hate ______________________________________________
It would make me feel __________________________________________________________
Growing up the relationship I had as a child with my brothers and sisters was ___________ _____________________________________________________________________________
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As an adult I feel _________________________________ about my siblings.
I wish we _____________________________________________________________________
I am glad we __________________________________________________________________ I remember ___________________________________________ with my ________________
I wish we could ________________________________________________________________
I want my kids to be ______________________________________ with their siblings.
I want my kids to ______________________ me.
I want my kids to think I am ____________________________________________________
I want my kids to always remember how much I ___________________________________
I want to be remembered as a __________________________________________________
… who ______________________________________________________________________
My family is important to me because ___________________________________________
Those who know me best would say that my ____________________ comes first.
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My best moments of my life so far are 1. ________________________________________________________________________
2. ________________________________________________________________________
3. _______________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
If I had one Month to live I would : 1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
If I could start my life over again I would do some things differently.
List 5 things you would change if you could turn back time.
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
4. ________________________________________________________________________
5. ________________________________________________________________________
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