VISION Unlimited

is a private partnership, dedicated to the personal development of all who visit this special place on one of Scotland's most picturesque islands.

Questionnaire

The purpose of this brief Questionnaire is to establish how you feel about yourself and your world ~ and to identify specific issues you may like to examine.

If you do not wish to answer a particular question, just leave a blank. Along with all that we do here, your answers will remain entirely confidential.

Your Contact Details

Your Name: Required
E-mail: Required

How you feel about life at the moment

Please rate 0-10
with 10 being perfect		 COMMENT
Relationship with partner
Relationships with family
Relationships at work
Other work-related issues
My physical health/energy
My sense of self worth
My experience of abundance
My feeling of spirituality
My state of happiness
My sense of belonging
My particular likes
Particular dislikes

What I currently believe...

Please identify your beliefs
My approach to life significantly affects itYesNot Sure No
An open mind is a weak mindYesNot Sure No
No-one can help me if I don't want them toYesNot Sure No
Many of my problems are attributable to othersYesNot Sure No
Others will change as I doYesNot Sure No
Life is hardYesNot Sure No
I deserve everything that is goodYesNot Sure No
I am lovedYesNot Sure No
I am powerless to change my lifeYesNot Sure No

At the moment I am feeling...

Please select all that appply
Angry Sad Guilty Tired
Stuck Happy Contented Confused
Betrayed Silly Numb Fearful
Lonely Apprehensive Put-upon Unloved
Other feelings

Additional Information

In participating in an event with VISION unlimited, I would really like to...
Please use this space to tell us anything else about yourself that you consider relevant ~ and to ask any questions you may have about what we do and how we do it...