Matchmaking
for Life's MOST       IMPORTANT      
              Relationships
Your Subtitle text
Self-Evaluation Inventory 
 

Life Today

 

Ideal Life

 Life Today

 Ideal Life



 Self-Evaluation Inventory (My Life Today)

Please fill out the confidential form below to establish a starting point from which you can create your ideal life.  Only Captured Dreams/Destined to Meet personnel will actually see your contact information. Your personal information is private and will only be used to assist you in manifesting your heart's desires and/or ideal mate.

For each statement, please
check the box that best describes your life today.

Contact Information:

First Name:

*

Last Name:

*

Email:

*

Financial & Career:

My Life Today:

1. My job is in the area of town that I prefer.

2. My job is enjoyable.

3. My primary job utilizes my strongest talents.

4. My secondary job utilizes my strongest talents.

5. My work schedule is ideal.

6. My income satisfies my needs.

7. My income is equal to my value.

8. My co-workers/boss respect(s) me & treat(s) me well.

9. I start work at a time that is best suited for my internal clock.

10. I have more debt than I could pay off in one year.

11. I have a savings account with money in it.

12. My bank account(s) are balanced.

13. I have filed my taxes and I don't owe money to the IRS.

14. I have budget that I follow.

15. I am happy with the amount of money that I am currently earning.

16. My earnings have increased progressively each year for the past five years.

17. I am happy with my credit rating.

18. My relationship with my co-workers is above average.

19. I am happy with the car that I currently have.

20. I like my wardrobe and it is suitable for my lifestyle.

21. I make do with the clothes I have, because I can't afford a better wardrobe.

22. I have money put aside for recreational travel.

23. I have enough money saved to afford to go without work for six months or more.

Physical & Health:

My Life Today:

1. I exercise three times or more every week.

2. I sleep enough to be alert & awake during the day.

3. I take recreational drugs every week.

4. I take recreational drugs every once in a while.

5. I drink alcohol two times per week or more.

6. My diet reflects my beliefs & values.

7. My weight is ideal.

8. I am often sick.

9. I sleep well at night without medication.

10. I have definite goals for physical fitness.

11. I frequently work overtime.

12. I buy myself presents.

13. I choose not to stay in the presence of people who treat me poorly.

14. I eat a balanced diet.

15. My life is balanced.

16. I take vitamins and supplements.

17. I take regular vacations.

18. I make time for myself.

19. I spend my personal time with people who love and accept me unconditionally.

20. I smoke cigarettes.

21. I go long periods of time without eating.

22. I drink two or more cups of coffee everyday.

23. I eat vegetables every day.

24. I am very critical of myself.

Family & Home:

My Life Today:

1. My home is comfortable.

2. My home is ideal for me right now.

3. My roommate(s)/live-in partner is very pleasant to be around.

4. I am in a committed, loving relationship.

5. I am living with my significant other.

6. I have children.

7. I don’t have children.

8. I am married.

9. I am in a physically abusive relationship.

10. I am in an emotionally abusive relationship.

11. I am in a sexually abusive relationship.

12. I live in the area of town that I prefer to live.

13. I communicate very well with my mate.

14. I am in a relationship with a mate that has over 75% of the traits that I desire.

15. I forgive and forget after an argument or quarrel.

16. I have a close relationship with my biological mother.

17. I have a close relationship with my biological father.

18. I have a close relationship with the people who raised me.

19. I have a close relationship with my siblings.

20. I spend time every week with someone who is negative.

21. If single – The people I date are people who I could see myself with longterm.

22. If single – The people I date are available emotionally.

23. If single – The people I date are available physically.

24. If in a committed relationship – I spend quality time with my partner every week.

25. If in a committed relationship – My partner and I are friends as well as lovers.

26. If have children – I have a close relationship with all of my children.

27. If have children – I see all of my children at least once every year.

28. If have children – I speak on the phone with all of my children at least every few months.

29. If have children – I tell all of my children that I love them.

Mental & Educational:

My Life Today:

1. I have clear goals for my future.

2. I have accomplished a level of education that is pleasing to me.

3. I reach the goals I set.

4. I am continually studying in my field.

5. I read a lot.

6. I make active use of my imagination and creativity.

7. I need more education or training in some areas.

8. I like to know about subjects not necessarily connected with my work.

9. I schedule regular time for study, research, or learning.

10. I make dumb mistakes often.

11. I know my strengths and weaknesses.

12. I keep abreast of current events.

13. I am aware of trends in my industry.

14. I am knowledgeable about the competition in my industry.

15. I welcome constructive criticism from people who know me well.

16. I learn from my mistakes.

17. I keep doing the same thing over and over and expect different results.

Spiritual & Ethical:

My Life Today:

1. I am active in my spiritual growth.

2. My values are not compromised at work.

3. My values are not compromised in my relationships.

4. I volunteer my time or money to a worthy cause each month.

5. I am completely honest with my romantic partner(s).

6. I am completely honest with the authority figures in my life.

7. I am completely honest with my parents and siblings.

8. I sympathize with people less fortunate than I am.

9. I freely forgive rather than hold grudges.

10. I try to exercise a good moral and ethical influence on others.

11. I am a person who can be trusted.

12. I would rather be rejected by my friends than sacrifice my principles.

13. I make a conscious effort to protect the environment.

14. My actions are congruent whether people are watching or not.

15. I treat other people the way I want to be treated.

16. I treat animals and all living things well.

17. I am conscious of how my actions affect others.

18. I treat all people; regardless of race, economic status or religion, equally.

19. I follow my intuition.

20. I am passionate about my work or a cause.

21. I do business only with organizations that exemplify my beliefs.

22. I invest in stocks and/or people that exemplify my beliefs.

Social & Cultural:

My Life Today:

1. I have two or more close friends that I can tell anything to.

2. I have a strong support network (friends, family, church).

3. I communicate very well with my friends.

4. My temper is uncontrollable at times.

5. I refuse to gossip about others.

6. I have pleasing social manners.

7. I trust people and expect to find good in them.

8. I feel at ease in any social gathering.

9. I have a good sense of humor.

10. Most people like me.

11. I feel a responsibility for helping my community improve.

12. I can discuss controversial subjects without becoming overly emotional or without provoking arguments.

13. I respect the rights of others to hold opinions different than mine.

14. I am self-confident.

15. I practice good hygiene.

16. I act lovingly to myself.

17. I feel comfortable feeling all of my feelings.

18. I feel comfortable when other people cry or get angry.

19. I rarely ever cry.

20. I rarely ever get angry.

21. I have friends of other races.

22. I love people.

23. I don’t put other people at risk by driving under the influence of drugs or alcohol.

24. I am able to communicate my boundaries effectively.

25. I have traveled to other countries.

 

Comments or Feedback



Place Comments in box above!

 

                                                                                                                                                                                                                                                                           Back to Top
 
Self-Evaluation Inventory (My Ideal Life)

Please fill out the confidential form below to help us, help you, create your ideal life.  Only Captured Dreams/Destined to Meet personnel will actually see your contact information. Your personal information is private and will only be used to assist you in manifesting your heart's desires and/or ideal mate.

For each statement, please check the box that best describes how you would answer if you were already living your ideal life.  Would you want your answer to the statement "My job is enjoyable." to be Very True or Somewhat True?  Everyone is different, so we want to know what answers you would give if you didn't have the life you have today, but the ones you would give if you were already living your ideal life.

Contact Information:

First Name:

*

Last Name:

*

Email:

*

Financial & Career:

My Ideal Life:

1. My job is in the area of town that I prefer.

2. My job is enjoyable.

3. My primary job utilizes my strongest talents.

4. My secondary job utilizes my strongest talents.

5. My work schedule is ideal.

6. My income satisfies my needs.

7. My income is equal to my value.

8. My co-workers/boss respect(s) me & treat(s) me well.

9. I start work at a time that is best suited for my internal clock.

10. I have more debt than I could pay off in one year.

11. I have a savings account with money in it.

12. My bank account(s) are balanced.

13. I have filed my taxes and I don't owe money to the IRS.

14. I have budget that I follow.

15. I am happy with the amount of money that I am currently earning.

16. My earnings have increased progressively each year for the past five years.

17. I am happy with my credit rating.

18. My relationship with my co-workers is above average.

19. I am happy with the car that I currently have.

20. I like my wardrobe and it is suitable for my lifestyle.

21. I make do with the clothes I have, because I can't afford a better wardrobe.

22. I have money put aside for recreational travel.

23. I have enough money saved to afford to go without work for six months or more.

Physical & Health:

My Ideal Life:

1. I exercise three times or more every week.

2. I sleep enough to be alert & awake during the day.

3. I take recreational drugs every week.

4. I take recreational drugs every once in a while.

5. I drink alcohol two times per week or more.

6. My diet reflects my beliefs & values.

7. My weight is ideal.

8. I am often sick.

9. I sleep well at night without medication.

10. I have definite goals for physical fitness.

11. I frequently work overtime.

12. I buy myself presents.

13. I choose not to stay in the presence of people who treat me poorly.

14. I eat a balanced diet.

15. My life is balanced.

16. I take vitamins and supplements.

17. I take regular vacations.

18. I make time for myself.

19. I spend my personal time with people who love and accept me unconditionally.

20. I smoke cigarettes.

21. I go long periods of time without eating.

22. I drink two or more cups of coffee everyday.

23. I eat vegetables every day.

24. I am very critical of myself.

Family & Home:

My Ideal Life:

1. My home is comfortable.

2. My home is ideal for me right now.

3. My roommate(s)/live-in partner is very pleasant to be around.

4. I am in a committed, loving relationship.

5. I am living with my significant other.

6. I have children.

7. I don’t have children.

8. I am married.

9. I am in a physically abusive relationship.

10. I am in an emotionally abusive relationship.

11. I am in a sexually abusive relationship.

12. I live in the area of town that I prefer to live.

13. I communicate very well with my mate.

14. I am in a relationship with a mate that has over 75% of the traits that I desire.

15. I forgive and forget after an argument or quarrel.

16. I have a close relationship with my biological mother.

17. I have a close relationship with my biological father.

18. I have a close relationship with the people who raised me.

19. I have a close relationship with my siblings.

20. I spend time every week with someone who is negative.

21. If single – The people I date are people who I could see myself with longterm.

22. If single – The people I date are available emotionally.

23. If single – The people I date are available physically.

24. If in a committed relationship – I spend quality time with my partner every week.

25. If in a committed relationship – My partner and I are friends as well as lovers.

26. If have children – I have a close relationship with all of my children.

27. If have children – I see all of my children at least once every year.

28. If have children – I speak on the phone with all of my children at least every few months.

29. If have children – I tell all of my children that I love them.

Mental & Educational:

My Ideal Life:

1. I have clear goals for my future.

2. I have accomplished a level of education that is pleasing to me.

3. I reach the goals I set.

4. I am continually studying in my field.

5. I read a lot.

6. I make active use of my imagination and creativity.

7. I need more education or training in some areas.

8. I like to know about subjects not necessarily connected with my work.

9. I schedule regular time for study, research, or learning.

10. I make dumb mistakes often.

11. I know my strengths and weaknesses.

12. I keep abreast of current events.

13. I am aware of trends in my industry.

14. I am knowledgeable about the competition in my industry.

15. I welcome constructive criticism from people who know me well.

16. I learn from my mistakes.

17. I keep doing the same thing over and over and expect different results.

Spiritual & Ethical:

My Ideal Life:

1. I am active in my spiritual growth.

2. My values are not compromised at work.

3. My values are not compromised in my relationships.

4. I volunteer my time or money to a worthy cause each month.

5. I am completely honest with my romantic partner(s).

6. I am completely honest with the authority figures in my life.

7. I am completely honest with my parents and siblings.

8. I sympathize with people less fortunate than I am.

9. I freely forgive rather than hold grudges.

10. I try to exercise a good moral and ethical influence on others.

11. I am a person who can be trusted.

12. I would rather be rejected by my friends than sacrifice my principles.

13. I make a conscious effort to protect the environment.

14. My actions are congruent whether people are watching or not.

15. I treat other people the way I want to be treated.

16. I treat animals and all living things well.

17. I am conscious of how my actions affect others.

18. I treat all people; regardless of race, economic status or religion, equally.

19. I follow my intuition.

20. I am passionate about my work or a cause.

21. I do business only with organizations that exemplify my beliefs.

22. I invest in stocks and/or people that exemplify my beliefs.

Social & Cultural:

My Ideal Life:

1. I have two or more close friends that I can tell anything to.

2. I have a strong support network (friends, family, church).

3. I communicate very well with my friends.

4. My temper is uncontrollable at times.

5. I refuse to gossip about others.

6. I have pleasing social manners.

7. I trust people and expect to find good in them.

8. I feel at ease in any social gathering.

9. I have a good sense of humor.

10. Most people like me.

11. I feel a responsibility for helping my community improve.

12. I can discuss controversial subjects without becoming overly emotional or without provoking arguments.

13. I respect the rights of others to hold opinions different than mine.

14. I am self-confident.

15. I practice good hygiene.

16. I act lovingly to myself.

17. I feel comfortable feeling all of my feelings.

18. I feel comfortable when other people cry or get angry.

19. I rarely ever cry.

20. I rarely ever get angry.

21. I have friends of other races.

22. I love people.

23. I don’t put other people at risk by driving under the influence of drugs or alcohol.

24. I am able to communicate my boundaries effectively.

25. I have traveled to other countries.

 

Comments or Feedback



Place Comments in box above!

 

                                                                                                                                                                                                                                                                                Back to Top