Expanding Self- awareness

1.
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3.
4.
5.
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7.
8.

Name
How important is it to you?
Gender
Are you satisfied with being who you are?
Body
Are you satisfied with your physical appearance?
Abilities
What are you particularly good at?
Mind
Do you feel OK about your intellectual ability
Age
Are you comfortable with the age you are now?
Birth
How do you feel about where you were born?
Culture (s) Where were you brought up? If you have moved between
different cultures,
What influences has this had?
9. People
Who influenced you most when growing up?
10.Mother
What is your opinion of your mother?
11.Father
What is your opinion of your father? If you have no parents, how
has that
influenced you?
12.Siblings
What is your opinion of your brothers/sisters? If you have
no brothers or
Sisters, what influence has that had?
13.Education
What influence did your education have? What would you like to
have achieved
Which you did not?
14.Employment List the various jobs you have had ,the people you remember
associated with
those jobs, and the overall influence of the work associated
peope.
15.Spouse
If youre married, how has your spouse influenced you?
16.Children
How have your children influenced you? If you wanted children,
and
Were unable to have them, how has that influenced you?
17.Unmarried If you are unmarried, or have no partner, what influence does
that have?
18.Preferences How do your sexual preferences influence you?
19.Values
What values do you have, and what influence do they exert?
Have you taken
them over from other people without thought?
20.Beliefs
What are your fundamental beliefs? How did you acquire
them?
21.Religion
You are religious, what influence does that exert? If you
have no religion, what
Influence does that exert?
22.Experiences What life experiences are significant for you, and why?
23.Health
How have any illnesses or accidents influenced you?
24.Memories
What memories do you treasure, what memories do you try hard
to forget?
25.Relationships
What relationships in the past are you glad you had, and
what relationships do

you wish you had never had?

26.Circumstances
What life circumstances, past or present, do you welcome,
and which do you
regret?
27.Authority
Who represents authority for you, in the past or now? What
influence do these
Figures exert authority on you?
28.Strengths
What are your major strengths, and how might these influence
your listening
clients?
29.Weaknesses What are your major weaknesses, and how might these
influence your ability to
listen to clients?
30.Virtues
What do you consider to be your virtues? How do they
influence your
behaviour?
31.Vices
Do you have any vices, and how do they influence your
relationships?