Handout #5a
“Who Am I” Survey
Instructions: This survey asks you to choose words that best describe you. For
each number place one X by the description that fits you. Then count the number
of x’s in each column. Some choices will be harder than others. Just do your
best.
1. Energy level… changes, goes up is usually high or is steady
and down usually low
2. To my friends I fun to be around, good at talking but loyal
am….. life of the party not at listening
3. When there is do not like it very need to initiate appreciates silence
silence I…… much conversation
4. My usual hunger can vary from being I need regular is usually low, but if I
level… very interested to meals am moody I like to eat
no interest in food
5. Making decisions intuitive and fast focused and with a need lots of
I do them… goal in mind information
6. My ideal I don’t like cold, I I don’t like heat, I I like mild
temperature… am comfortable in like the winter and temperatures. I don’t
warm and hot cold weather like very hot or cold
weather extremes
7. If I am doing a creative organized spontaneous
project I am…
8. I find schedules… flexible and orderly and help can balance between
adaptable keep organized work and play
9. My regular sleep light sleeper usually sleep well deep sleep, and slow
pattern is… to wake up
Totals P1 Green P1____ Red P1____ Blue P1_____
Handout #5b
10. I am sensitive noise bright light strong smells
to…
11. My usual change easily quick-tempered slow to anger
moods…
12. My reaction to anxious, fearful get angry mostly calm
stress is…
13. My spending I like to buy on the I plan before I I like to save
habits… spot spend
14. Word that best lively intense easy going
describes me…
15. When I talk to talk to all kinds of talk to people like can be shy and it takes
people I… people myself me extra time to make
friends, but am forever
loyal
16. Friends and settle down be more be more outgoing
family say I accepting
should…
Totals P2 Green P2____ Red P2____ Blue P2_____
Totals P1 +Pg1 _____ +Pg1 _____ +Pg1 _____
Final Score =Total _____ =Total_____ =Total_____
*Count the number of x’s in each column. Add the total of page 1 and page 2 together to get your
final score and wait for instructions.
Handout #5c
“Who Am I” Survey Results:
Common Healthy State Characteristics of the Three Types
People who have the highest number in the green row
- The quick idea, creative people
People in the green group at their best are light, imaginative, joyful, sensitive,
creative, and quick-minded.
When balanced, these people may have lots of energy, but tire easily. They are
often very funny and charming. In conversation they may interrupt, but you don’t
care because they are so much fun to be with.
People who have the highest number in the red row
- The take charge/take action people
People in the red group at their best have the courage to get things done. They
tend to be big-picture thinkers, clear-headed, successful, and joyous.
When balance, people in this group like competition, have a sharp mind, and
know what they want. They tend to be decisive, efficient, organized, and like to be
leaders.
People who have the highest number in the blue row
- The wise, calm, giving people
People in the blue group at their best are strong, steady, wise, and earthy. When
balanced, these people are caring and calm. They are capable of storing energy
and can stay with activities for a long time.
When balanced, these people tend to be deliberate and able to hold onto friends
and money. They are often forgiving, straightforward, and loyal to their friends.
Handout #6
Values that Guide My Life
Instructions: Circle the values that are important to you. Put a star next to
your top three. There is space at the bottom for you to add other values.
Advocating for myself Being close to friends Religion
Being close to family Setting and reaching new goals Being independent
Having a good job Being on time Doing good deeds
Keeping myself safe Being adventurous Staying healthy
Others: ________________________________________________________________
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