8/8/2019 Temperament Consult Form for Website

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New Client Consultation Form

Temperament Consultwww.TheTemperaments.com

This form is for clients of Kristie Karima Burns, MH, ND

at:www.HerbnHome.com. This provides a starting point for our conversations.

Please make payment and choose a date from the calendar on the website at

www.Herbnhome.com and then submit this form to:Herbnhome@gmail.com. You may choose

to have your consult by phone or IM or you may choose a date for your e-mail consult to be

finished and sent back to you. If you are consulting by e-mail please choose a date at least fourdays after you turn in the following form. If you choose to consult by phone, IM or video chat

you may choose any open date on the calendar.

Please put a number next to each statement. Use the numbers 1-5.5=yes, all the time, 4=yes, most of the time, 3=sometimes, 2=rarely, 1=never

_____be honest, even blunt, though not necessarily tactful and diplomatic

_____be cautious and sensible

_____enjoy frequent periods of solitude and introspection

_____enjoy indulging my imagination and curiosity

_____keep my feelings , thought and opinions to myself

_____be content to be anonymous or on the periphery of social events

_____be considered unusual or eccentric

_____be involved in intellectual pursuits

_____be careful about what I reveal to other people

_____be a stubborn defender of truth as I see it

_____be patient and persevering in spite of defeats or dead ends_____be objective and dispassionate

_____feel self-sufficiency in or out of a relationship

_____chose privacy over intimacy and solitude over socializing

_____pursue my own interests no matter what others consider important

_____enjoy projects that do not involve other people

_____remove myself from everyday affairs and turn inward to quietly reflect upon my life in the grand scheme of things.

____feel confident and act assertively

____enjoy being competitive and ambitious

____feel powerful and invulnerable

____reluctantly acknowledge others as my equal

____openly discuss my achievements with others

____Be comfortable with conflict or pressure

____enjoy being best, first, unique or even outlandish

____act with confidence and assurance regardless of what others may think or feel.

____Make quick decisions and commit myself to a course of action even if the odds are not in my favor.____Be comfortable with difficult tasks or emergencies that demand thinking on my feet

____Feel that I am right even if others strongly disagree with or disapprove of me.

____Feel good about following my instincts and satisfying my impulses.

____Be direct or provocative even if it causes discomfort to others

____Take pleasure in public recognition and admiration of my talents and achievements

____Be comfortable leading or directing others

____Follow my own hunches about what is right and wrong

____take the lead when necessary to get things done quickly and effectively

____Act boldly and decisively even if I dont have all the expertise or information I need.

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8/8/2019 Temperament Consult Form for Website

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____Enjoy the process of striving against the odds for its own sake

____To want to reject or argue with other peoples appraisals of me.

____Be animated and enthusiastic

____enjoy the pleasures of my senses

____easily know what another thinks and feels

____enjoy physical contact and emotional intimacy

____be comfortable in a very stimulating environment

____openly share my innermost feelings and desires____live in the here and now and not worry about the future or dwell on the past

____see the humorous side of life

____thouroughly enjoy getting what I want and need

____be tender, intimate and venerable with another person

____be comfortable receiving and giving affection and pleasure

____enjoy being open emotionally

____easily become completely involved in events going on around me

____become deeply identified with the feelings, thoughts and experiences of another

____be emotionally sensitive, responsive, and intuitive

____remain optimistic and hopeful in spite of what others may say or believe

____be completely open and exposed

____identify and empathize with anothers joy or pain

____be open in showing enthusiasm and excitement

____enjoy being attractive and magneti

____maintain a neat and orderly personal life____be in control of my social environment and the way I do things

____be strongly committed to my moral principals and standards of conduct

____feel secure and confident in my work when I know everyone is following proper procedure.

____enjoy tasks that require logical, analytical, and systematic approaches to problem-solving

____appreciate being thought of as meticulous and discriminating

____think of myself as being impeccable and above reproach

____be self-contained and not overly involved in peoples affairs

____work easily and efficiently in situations where goals and guidelines are well established

____be appreciated and admired for my skill and expertise rather than my personality or emotional enthusiasm

____be judged or evaluated according to objective criteria rather that personal bias or intuition

____accept the authority of those with more competence

____Be systematic and methodical in my work

____enjoy the process of solving puzzles and mysteries

____be content with a few close attachments or demanding relationships

____put virtue and principles before pleasure and fulfillment____restrain myself in expressing my feelings or opinions

____enjoy temperance and moderation

____be tasteful and discriminating

These are similar to the questions you saw on the Facebook test if you took that test. It helps me to see your personal

answers to these questions. If you did take the Facebook test it would also help to know what temperament you were and

why you feel that is or is not accurate.

1. How do you pack a suitcase?

2. When you enter a room what is the first thing you do?

3. What is your relationship with food?

4. What is your favorite music?5. What is your favorite color?

6. What was your favorite class in school?

7. What kind of books do you read?

8. What is your favorite hobby?

9. Describe yourself in one short paragraph.

10. How do your friends describe you?