MEANING
1 2 3 4 5
Life is filled with I feel generally motivated Life has become
purpose and meaning meaningless
What is giving me life and energy right now?__________________________________________________________________________________
Who or what keeps me from being fully alive? ________________________________________________________________________________
FORGIVENESS
1 2 3 4 5
I feel a deep sense of There are no outstanding issues I feel a strong sense of
of reconciliation towards that are calling for forgiveness un-forgiveness in my life
myself and/or others towards myself and/or another
Who or what do I need to forgive? __________________________________________________________________________________________
From whom do I need seek forgiveness_____________________________________________________________________________________
RELATEDNESS
1 2 3 4 5
I feel a strong sense of Most important areas of I feel seriously alienated
connection with the persons my life seem balanced from someone/thing that
persons and things that is important to me
matter most to me
Who or what means the most to me?_______________________________________________________________________________________
Who or what do I fear losing? _____________________________________________________________________________________________
HOPE
1 2 3 4 5
I feel hope-filled I generally trust what I am experiencing
and optimistic the future holds for me sadness, loneliness
and hopelessness
What dreams keep me alive? _____________________________________________________________________________________________
Why might I feel depressed or hopeless?___________________________________________________________________________________