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12 Reflective Questions
Page 1
Please complete all 12 questions in this self-assessment survey. You will be able to print the results at the end of the survey. All responses are anonymous.
1. When it comes to being whole, in which area is your greatest need?
*
Spiritual
Vocational
Relational
Physical
Emotional
Volitional (will)
2. Rank where you are at in each area below. (1 = not well; 3 = ok; 5 = optimal well-being)
Spiritually
1
2
3
4
5
Vocationally
1
2
3
4
5
Relationally
1
2
3
4
5
Physically
1
2
3
4
5
Emotionally
1
2
3
4
5
Volitionally (will)
1
2
3
4
5
3. If you could compare your life right now to an eagle, where would you be:
Soaring high (carried along by the wind)
Feeling a little turbulence- but I'm making it
Tuckered out - it's been a long flight
Wounded, buckshot wounds
(Mentally note how you you come to that answer?)
Page 2
Please complete all 12 questions in this self-assessment survey. You will be able to print the results at the end of the survey. All responses are anonymous.
4. Which one of these statements best describes how you feel about physical fitness?
Staying physical fit is very important to me
I leave physical fitness to the young
Physical fitness is overrated in our society
I worry about it, but only exercise sporadically
When I feel like exercising, I lay down until the feeling goes away
Physical fitness should be balanced with emotional and spiritual fitness
5. What connection have you noticed between your physical and spiritual health?
My physical health only lasts if I am spiritually well
My physical health is sometimes related to my spiritual health
My physical health is helped by spiritual remedies
A prayer a day keeps the doctor away
6. Dr. Lester Breslow, Dean of UCLA's School of Public Health found seven basic living habits are crucial to health? Mark the ones you do on a regular basis.
Moderate regular exercise
Normal weight
Breakfast everyday
Regular meals with no snacks between meals
7-8 hours of sleep each night
Moderate drinking
No Smoking
7. Which of the following best describes how you think about your physcial health?
I worry about it
I am probably not as conscientious as I should be
I don't give it a second thought
I take it for granted
I do what I can to stay healthy
I give it top priority
Page 3
Please complete all 12 questions in this self-assessment survey. You will be able to print the results at the end of the survey. All responses are anonymous.
8. What practices or spiritual disciplines have helped you cultivate the spiritual dimensions of your life? (Try to prioritize your answer 1= I do most, then 2, 3, etc.)
Meditation
1
2
3
4
5
Daily Scripture reading
1
2
3
4
5
Praying the scriptures
1
2
3
4
5
Being in a small group
1
2
3
4
5
Going to church
1
2
3
4
5
Discussing spritual issues with others
1
2
3
4
5
9. As you look at your vocational future, what issues might block you from pursuing what God wants you to do with this life?
My love for or the security of the status quo
My inability to see how God could use what I am presently doing
Family pressures
My lack of openness to God's direction in this area
10. What are you most likely to hide from?
The pain of my past
People who might not accept me
Responsibility for my actions
Pressure
The demands of God
Anyone trying to give me a job
Facing who I am
The troubles of the modern world
Why?
page4
Please complete all 12 questions in this self-assessment survey. You will be able to print the results at the end of the survey. All responses are anonymous.
11. What are some earthly things you dwell on that take away your peace?
Financial stresses
Wanting what others have
What others think of me
World turmoil
Politics
12. If you took seriously Christ's call to follow Him in every area of your life, what 5 areas listed below would you ask God to help you address and change?
Diet control
Regular exercise
Financial planning
Time management
Community involvement
Faith development
Driving habits
Proper sleep
Addiction
Voting record
Family responsibilities
Peer relationships
TV viewing
Thought control
Simple lifestyle
Work holism
Titling
1. When it comes to being whole, in which area is your greatest need?
*
2. Rank where you are at in each area below. (1 = not well; 3 = ok; 5 = optimal well-being)
Spiritually
Vocationally
Relationally
Physically
Emotionally
Volitionally (will)
3. If you could compare your life right now to an eagle, where would you be:
4. Which one of these statements best describes how you feel about physical fitness?
5. What connection have you noticed between your physical and spiritual health?
6. Dr. Lester Breslow, Dean of UCLA's School of Public Health found seven basic living habits are crucial to health? Mark the ones you do on a regular basis.
7. Which of the following best describes how you think about your physcial health?
8. What practices or spiritual disciplines have helped you cultivate the spiritual dimensions of your life? (Try to prioritize your answer 1= I do most, then 2, 3, etc.)
Meditation
Daily Scripture reading
Praying the scriptures
Being in a small group
Going to church
Discussing spritual issues with others
9. As you look at your vocational future, what issues might block you from pursuing what God wants you to do with this life?
10. What are you most likely to hide from?
Why?
11. What are some earthly things you dwell on that take away your peace?
12. If you took seriously Christ’s call to follow Him in every area of your life, what 5 areas listed below would you ask God to help you address and change?
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