1
- Intention
a) I have a strong intention/desire/dream
that I am passionately pursuing.
b) I have a strong intention/desire/dream that I am not currently
pursuing.
c) I had a strong intention/desire/dream but have given-up pursuing
it.
d) I have no intention/desire/dream.
2
- Awareness
a) I am aware of my thoughts and behavior
and observe myself non-critically.
b) I am aware of my thoughts and behavior but I judge myself critically.
c) I am only somewhat aware of my thoughts and behavior.
d) I do not really pay much attention to my thoughts and behavior.
3
- Attention
a) I consistently direct my attention toward
what I want.
b) I desire to, but am inconsistent in directing my attention
toward what I want.
c) I am distracted from directing my attention toward what I want.
d) I find that my attention is, unfortunately, mostly on what
I do not want.
4
- Appraisal
a) I create my own reality and am unaffected
by the behavior of others. I, therefore, choose how I respond
to the events in my life, not react. I do not see things as "good"
or "bad" and seek the opportunity within situations
and circumstances.
b) Most of the time, I am able to stay on course relatively unaffected
by events and the behavior of others.
c) Other people and circumstances often bring me down.
d) Most of the time, I find myself being reactive and strongly
affected by the opinion of others.
5
- Acceptance
a) I fully accept the present as perfect.
b) I accept the present but not as perfect.
c) It is difficult for me to accept present conditions, yet it
does not stop me from pursuing my interests.
d) I find it very difficult to accept the present and moving forward
is difficult.
6
- Belief Expansion
a) I am a freethinking individual and I
have moved well beyond parental, religious and societal influences.
I have been able to form my own opinions and beliefs and believe
I can achieve anything I put my mind to.
b) I am aware of how parental, religious and societal influences
have affected my life and am now growing beyond these limitations.
c) I never really considered how parental, religious and societal
influences might be affecting my life.
d) I find it difficult to get beyond past experiences and influences.
7
- Self-Acknowledgment
a) I believe I have identified my talents
and gifts and joyfully share them with the world. I love myself,
and find it easy to care for myself and others.
b) I believe I have talents and gifts and share them freely; however,
I do not feel very comfortable putting attention on myself.
c) I am uncertain what my talents are and generally feel average.
d) I do not feel that I have much to offer others.
8
- Cancel/Replace Techniques
Not Applicable
9
- Dynamic Meditation
a) I find meditation to be a priceless
tool and am a regular practitioner.
b) I know the value of meditation but just do not have the time
for it.
c) I do not meditate; however, I do have other methods that work
well for me to stay relaxed and in touch with my purpose and myself.
d) I do not have any interest in meditation.
10
- Congruency
a) I feel that I am in alignment with my
spiritual, emotional, mental and physical nature. I welcome the
challenges of my life and see overcoming them as a means for further
growth and greater happiness.
b) I am in the process of becoming more aware of the value of
aligning with my spiritual, emotional, mental and physical nature.
c) I find the notion attractive but have done little in pursuing
it.
d) Let's face it; what you see is all there is and spiritual,
emotional and mental stuff not an issue when you just do what
you have to do.
