Let us get a bigger picture of how you see yourself.

Domains Check (√) the box that applies to you Answer the following questions

Physical Appearance
( )I like how I look What are your physical assets?
( )I find myself attractive
( )There are physical features I wish I
could change What don't you like in your
()I don't feel confident with my body body?
( )I wish a have a perfect body

Health ( )I am healthy, fit and strong What do you want or need to

( )I am sickly do to keep yourself fit and
()I've been hospitalized a number of healthy?
times
( )I am not conscious of what I eat
( )I have allergies
( )I exercise regularly
( )I am overweight

Activities ( )I have regular sports What specific activities do you

( )I go out with friends regularly enjoy?
( )I like outdoor activities
( )I like staying at home, I am a
)homebody.
()I like doing arts or creative activities
( )I read a lot.

School ( )I am always present in class What do you need to improve in your studi
Performance ( )I am late most of the time es?
( )I try to do my best in class
( )I take good notes of our lessons.
( )I am prompt in submitting projects
( )I actively participate in class
( )I am not happy with my grades

Interpersonal Relationships
( )I easily get along with others What type of people are you
( )I have many friends most comfortable with?
( )I keep a small group of friends
( )I avoid conflicts as much as I can
( )I don't easily warm up with people

Personal ( )I am friendly and outgoing What are your other qualities

Qualities ( )I am shy that are not mentioned in the
( )I am a good listener list?
( )I am patient
( )I am creative
( )I love nature
( )I am observant
( )I am emotional
( )I am a good leader
( )I like performing (singing, acting,
dancing, etc)