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Home Phone: Business Phone: Fax: Email:NOTE: Email address Required Date of Birth: Sex: Female Male Fill out the order form and select which Profile's you want? Many of the profiles are only USD $19.95 Who am I? Selecting a Mate! Dead-End Relationship Family Values Research Only The following information is confidential and will be used for research purposes only. Race/Ethnic Origin African American Arabic Caucasian Hispanic/Latino Native American Pacific Islander Other Religious Affiliation Buddhist Catholic Islam Jewish Moslem Nondenominational Protestant None Other Occupational Area Administration Artistic Business/Finance Education Human Resources Legal/Political Manufacturing Marketing/Sales Science/Technology Job Type Clerical Counseling Consulting Engineering Labor, Skilled Labor, Unskilled Leadership Management Professional Sales Student None Other Education Elementary Secondary Associate Bachelors Masters Doctorate Income in USD Less than $10,000 $10,000-$19,999 $20,000-$29,999 $30,000-$49,999 $50,000-$74,999 $75,000-$99,999 Over $100,000 Civil Status: Divorced Married Single Years Married: # of Children The LifeTour Survey Instructions: For each of the following questions, choose one answer that best describes your behavior at this time. You will notice that some of the choices are repeated later in the survey. This allows you to compare your answer with more than one set of choices which, in turn enables us to identify your priority issues. This survey touches on a wide range of issues. Less than half will likely have a strong personal meaning for you. Simply choose the issue that is most important to you and is reflected in your present behavior. Try to answer with your first impression and do not choose any issue you do not clearly understand. We realize that choosing between issues may sometimes be difficult. If two choices are equally important to you, choose the one that reflects your current behavior. Choose "E. not applicable at this time" only if none of the answers apply to you at this time. Remember that there are no right or wrong answers. Section One of the survey is asking you what your long term goals and issues are that are currently important to you. Section Two of the survey is asking what you consider to be your skills and abilities. No particular choice is superior to any other. Persons experiencing a major change in their lives should answer the questions as they apply to the present situation. By repeating the inventory in several months, information can be gained to support your change process. The survey should take approximately 1-1 1/2 hours to complete. Section One Long Term Goals 1. I am a person who: places a priority on self preservation. is competent and confident. values personal security. is loved and accepted by my family. not applicable at this time. 2. I am a person who: enjoys the physical comforts of life. spends time fantasizing about the good life. engages in recreation and play. meditates as a part of a contemplative lifestyle. not applicable at this time. 3. I am a person who: can be overwhelmed by the wonder and awe of life. wants to develop my human and spiritual potential. wants to be so present to people that life becomes more meaningful to them. is involved in preserving the global environment. not applicable at this time. 4. I am a person who: is quick to defend the dignity of others. is in awe of wondrous and beautiful things. puts family first. is becoming a whole integrated person. not applicable at this time. 5. I am a person who: pursues truth in order to simplify life in practical ways for society. enjoys the physical comforts of life. enjoys work but prefers play. seeks knowledge through insight and discovery. not applicable at this time. 6. I am a person who: strives to integrate body, mind, and spirit. understands the need for physical self preservation. is willing to put faith in another even at personal risk. pursues the truth in order to simplify complexity in practical ways for society. not applicable at this time. 7. I am a person who: is valued by those who know me well. is competent and confident. is able to utilize my full potential. is so present to people that their lives become more meaningful to them. not applicable at this time. 8. I am a person who: enjoys the physical comforts of life. values new knowledge and insight from personal exploration and study. strives to integrate body, mind, and spirit. has learned that being myself in difficult situations helps other to do the same. not applicable at this time. 9. I am a person who: is motivated daily by strong personal beliefs. can be overwhelmed by the wonder and awe of life. appreciates art purely for the beauty it expresses. needs to balance meditation and relationships to be my best self. not applicable at this time. 10. I am a person who: knows that being myself in difficult situations helps other to do the same. likes fantasizing about the future. inspires people through the use of language, to act for the common good. is considered wise by leaders in my field. not applicable at this time. 11. I am a person who: sees my vocation as my highest priority. values personal security and comfort. is proud to work hard for a living. initiates creative organizational development. not applicable at this time. 12. I am a person who: is fascinated by life yet not overwhelmed by it. needs to know that my future is financially secure. meditates as a part of a contemplative lifestyle. looks forward to play and recreation. not applicable at this time. 13. I am a person who: takes care of my personal needs and interests first. likes fantasizing about the future. works on international projects that address human equality. takes personal equality very seriously. not applicable at this time. 14. I am a person who: appreciates the life giving value of art and beauty. takes care of my personal needs and interests first. lives by my beliefs and philosophy. makes a valuable contribution to society through my work. not applicable at this time. 15. I am a person who: knows I am valued by those who know me well. is involved in world ecology and preserving the environment. seeks knowledge through insight and study. needs intimacy with others and meditation time alone every day. not applicable at this time. 16. I am a person who: enjoys spending quality time with my family. is confident and has competence in my occupation. values freedom and personal equality. works daily with people so as to promote their quality of life. not applicable at this time. 17. I am a person who: is in the process of fulfilling my potential as a human being. puts a priority on self preservation. has friends who appreciate my worth. finds meaning through meditative solitude and intimacy with others. not applicable at this time. 18. I am a person who: has a vocation that is of service to others. sees myself as a good family person. meditates as a part of a contemplative lifestyle. transcends my personal needs in order to work on global quality of life issues. not applicable at this time. 19. I am a person who: enjoys the physical comforts of life. is quick to defend the dignity of others. is committed to the equality of individuals I live and work with. raises people's consciousness through speaking and writing. not applicable at this time. 20.I am a person who: values personal security. risks everything for a personal vision. radically pursues the truth even in adverse circumstances. initiates projects that promote the quality of life through international cooperation. not applicable at this time. 21. I am a person who: is outspoken and honest even under adverse conditions. understands the need for physical self preservation is a good reliable worker. has a job (vocation ) that is of service to others. not applicable at this time. 22 I am a person who: develops new and creative organizations. works hard for a living. renews people by being present to them in a quality way. initiates projects related to global ecology. not applicable at this time. 23. I am a person who: appreciates art purely for the beauty it expresses. likes fantasizing about the future. likes to work hard. strives to integrate body, mind, and spirit. not applicable at this time. 24. I am a person who: needs to be in control of my personal needs and interests first. values freedom and personal equality. initiates new organizational change. inspires people through the use of language, to act for the common good. not applicable at this time. 25. I am a person who: is confident and competent in what I do. risks on new ventures that involve a commitment to a mission. values new knowledge and insight from personal exploration and study. is involved in global ecology and preserving environmental beauty. not applicable at this time. 26. I am a person who: acts on my beliefs and philosophy of life. is an avid follower of the arts. is so present to people that their lives become more meaningful to them. awakens and liberates the oppressed by what I say and write. not applicable at this time. 27. I am a person who: enjoys recreation and play. is fulfilling my potential as a human being. promotes human dignity. is willing to put faith in another even at personal risk. not applicable at this time. 28. I am a person who: acts on my beliefs and philosophy of life. can be myself regardless of whom I am with. feels whole when personal intimacy and meditation are in place. transcends my personal needs in order to work on global quality of life issues. not applicable at this time. 29. I am a person who: puts a priority on personal needs and interests. has friends who value and esteem me. meditates as a part of a contemplative lifestyle. is committed to developing the organization. not applicable at this time. Section Two Skills and Abilities 30. It is important for me to: help others by being patient with them. provide food to eat and a place to live. be generous and compassionate towards others. enable groups to create something that is more than the sum of any individual's contribution. not applicable at this time. 31. It is important for me to: function well as an administrator. have good safety and survival skills. accept my limitations. investigate, research, and discover new truths. not applicable at this time. 32. It is important for me to: have my need for physical touching and caring satisfied. know that I am among friends. be confrontive but caring in a team or group. live up to the expectations of the group. not applicable at this time. 33.It is important for me to: be a caring person. experience the support of my peers. be clear about who is in charge. actively contribute to the growth and expansion of the firm. not applicable at this time. 34. It is important for me to: transcend my personal needs through the practice of non-attachment. develop my physical coordination and dexterity. promote wellness and health in myself and others. function well physically. not applicable at this time. 35. It is important for me to: be ordered and self-disciplined. give and receive physical affection. seek regular personal evaluations of myself by others. delegate tasks to my colleagues so as to improve collaboration. not applicable at this time. 36. It is important for me to: be appreciated for my fine workmanship. be responsible for the physical protection and security of my property. obey the rules I have created with my group. build a community or team with members of differing cultural and ethnic backgrounds. not applicable at this time. 37. It is important for me to: plan so that things run smoothly and efficiently. make choices that make me more independent. spend time and energy on helping the less fortunate in our society. avoid conflict and maintain order. not applicable at this time. 38. It is important for me to: complete my education and training. have safety and survival skills. continually search for what I am good at and what I can accomplish with my life. use technology as a means to simplify life. not applicable at this time. 39. It is important for me to: work on pattern, order, and technical design. learn from my own mistakes. use the arts and media to raise people's consciousness. maintain a sense of curiosity and wonder about nature. not applicable at this time. 40. It is important for me to: be obedient and mutually accountable with my group. be with and see my friends regularly. be skilled in establishing organizational objectives through group process and reflection. take complex ideas and information and transform them into technologies that enrich life. not applicable at this time. 41. It is important for me to: pioneer innovative changes. maintain financial success. see the law as a guide rather than a rule. survive financially by making a profit. not applicable at this time. 42. It is important for me to: be liked by my friends. trust, share with, and listen to others. be a part of a group of people that maximizes my creative potential. give and receive physical affection. not applicable at this time. 43. It is important for me to: know I am accountable to the rules. appreciate and celebrate holidays and historical events. have freedom to express myself. have quality time that separates me from daily anxieties. not applicable at this time. 44. It is important for me to: live by a set of ethical principles by which I hold myself accountable. accept and work within the chain of command. live simply even though I have the resources to do otherwise. influence people by acting honestly and with personal authority. not applicable at this time. 45.It is important for me to: be sexually and sensually satisfied. be courteous and hospitable toward others. be rational and objective. function well physically. not applicable at this time. 46. It is important for me to: encourage consensus decision making through shared, meditative reflection. provide a home and food on the table. be a caring person who can also accept being cared for. be loyal and faithful to those with whom I live and work. not applicable at this time. 47.It is important for me to: protect and care for my property. have time for the kind of leisure that enhances my creativity. fulfill my duty to help others who need me. be involved in issues of justice at a global level. not applicable at this time. 48.It is important for me to: take pride in my country. be with creative people who simplify and enhance life. be useful and productive. be continually affirmed by my friends and social acquaintances. not applicable at this time. 49. It is important for me to: present the right image to others. be courteous and hospitable. administrate with efficiency and control. influence people by acting honestly and with personal authority. not applicable at this time. 50.It is important for me to: accept my limitations. be with and see my friends regularly. work for organizational growth and development. have elders and authority figures that I can honor and respect. not applicable at this time. 51. It is important for me to: guard national and local property and interests. enjoy my individual rights and respect those of others. survive financially by making a profit. be actively involved in the organizations to which I belong. not applicable at this time. 52.It is important for me to: order the way I live through personal discipline. be able to relax. describe a global vision that moves people to action. use ritual and media to help others make sense out of life. not applicable at this time. 53. It is important for me to: see that my peers are treated fairly and impartially. provide food to eat and a place to live. be generous toward others. help diverse groups realize that interdependence is preferable to independent action. not applicable at this time. 54. It is important for me to: satisfy my curiosity and wonder about nature. say that I live by the rules and obey the law. be sensually satisfied. present the right image to others. Not applicable at this time. 55. It is important for me to: express myself freely. share my deepest hopes, joys and fears with a friend. be a part of a group of people that maximizes my creative potential. be sensually and sexually satisfied. not applicable at this time. 56. It is important for me to: maintain a sense of curiosity and wonder about nature. be knowledgeable in how to protect and secure property. say that I am proud of my country. be valued by friends and acquaintances. not applicable at this time. 57.It is important for me to: initiate new ideas and projects. live by a set of ethical principles by which I hold myself accountable. function well physically. work in the field of human rights at a global level. not applicable at this time. 58. It is important for me to: take complex ideas and transform them into technology that simplifies and enriches life. search for what I can do best with my skills. be with creative people who simplify and enhance life. be responsible for the physical protection and security of our homeland. not applicable at this time. 59. It is important for me to: practice spiritual detachment. maintain a sense of curiosity and wonder about nature. discover new insights through study and observation. have sufficient detachment to transcend daily pressures and work on international issues. not applicable at this time. 60. It is important for me to: know how to survive from day to day. survive financially by making a profit. avoid conflict and maintain working relationships. manage people for maximum efficiency. not applicable at this time. 61. It is important for me to: help develop supportive groups throughout the organization. work for the disadvantaged by promoting cooperation among different agencies. be liked by my friends. be actively involved in human rights at a global level. not applicable at this time. 62. It is important for me to: be able to succeed and achieve my goals. always have a home and food on the table. use my creative ideas. manage my time so I can relax. not applicable at this time. 63.It is important for me to: be loyal and faithful to those with whom I live. be a caring person. adapt well to life's changing situations. work cooperatively rather than working alone. not applicable at this time. 64. It is important for me to: do fine workmanship. explore the uniqueness of my career and vocation. have and share my creative ideas. order life through personal discipline. not applicable at this time. 65. It is important for me to: have a sense of ownership and take pride in what I own. care for and secure my property. help others by being patient with them. be flexible and adaptable even under stress. not applicable at this time. 66. It is important for me to: be courteous and hospitable. appreciate pattern, order, and technical design. build the mission and objectives of the firm. have the freedom to express myself. not applicable at this time. 67. It is important for me to: act on my own authority and make my own decisions. preserve the traditional values in society. complete my formal education and training. develop my physical coordination and dexterity. not applicable at this time. 68. It is important for me to: say what I really feel. help diverse groups realize they are dependent on one another and thereby work together cooperatively. be a caring person who can also accept being cared for. actively promote the organizations to which I belong. not applicable at this time. 69. It is important for me to: live by a set of ethical principles by which I hold myself accountable. use technology as a means to simplify life. promote physical, emotional, and spiritual health practices for myself and others. be courteous and hospitable. not applicable at this time. 70. It is important for me to: enable organizational leaders to understand global economic trends. develop my physical coordination and dexterity. regularly seek and attend to personal evaluations of myself and others' evaluations of me. use my skills to start new organizations or transform existing ones. not applicable at this time. 71. It is important for me to: develop my physical coordination and dexterity. be responsible and dependable. appreciate and help develop supportive communities. respect and defend the rights of others. not applicable at this time. 72. It is important for me to: have clear communication with friends and co-workers. avoid conflict and maintain order. suffer patiently for others. be assertive with others. not applicable at this time. 73.It is important for me to: be involved in science and technology. help everyone be accountable to the rules. be liked by my friends. use my skills to start new organizations or improve existing ones. not applicable at this time 74. It is important for me to: obey the rules and do my duty. avoid conflict and maintain order. enjoy the camaraderie which comes from the members conforming to the expectations of the group. have minimal rules which we hold in common as a guide. not applicable at this time. 75. It is important for me to: clearly communicate verbal and written information. speak so that my feelings and words correspond. share my deepest hopes, joys and fears with a friend on a regular basis. function well physically. not applicable at this time. 76. It is important for me to: present the right image to others. listen and respond to others in such a way that they see themselves more clearly. fulfill my duty to those who need me. be with and see my friends regularly. not applicable at this time. 77.It is important for me to: suffer patiently for others. trust, share with, and listen to others. expect responsibility to be mutual. be involved in justice issues at a global level. not applicable at this time. 78. It is important for me to: be assertive with others. care for and be in control of my property. assist groups or teams to become more than the sum of the individual parts. work cooperatively rather than working alone. not applicable at this time. 79. It is important for me to: make a contribution to my work without being influenced by others. mentor leaders in understanding economic trends. know how to survive from day to day. see the future through the mission and objectives of the organization. not applicable at this time. 80. It is important for me to: obey the rules and do my duty. manage people and direct the organization for maximum efficiency. be flexible and adaptable even under stress. provide equal opportunity for people of different cultural, ethnic, and professional backgrounds. not applicable at this time. 81. It is important for me to: work with people who like me. be generous and compassionate towards others. plan so that things run smoothly and efficiently. be useful and productive. not applicable at this time. 82. It is important for me to: present the right image to others. have a sense of ownership and pride in what I do. take creative leisure very seriously. strive for achievement and success. not applicable at this time. 83. It is important for me to: make decisions based on objective rational criteria. promote respect and the rights of others. excel in science and technology. learn from my own mistakes. not applicable at this time. 84. It is important for me to: help people obey the rules and do what they are told. care for and be in control of my property. stay ahead of the competition. survive financially by making a profit. not applicable at this time. 85. It is important for me to: be clear about who is in charge. listen and respond to others in such a way that they see themselves clearly. be involved in human rights issues at a global level. be valued by friends and acquaintances. not applicable at this time. 86. It is important for me to: win in a competitive situation. obey the rules and do my duty. delegate responsibility and authority and be collaborative. practice spiritual non-attachment to maintain perspective on the task at hand. not applicable at this time. 87. It is important for me to: value the support of my peers. use technology as a means to simplify life. be engaged in original research. be involved in fine craftsmanship. not applicable at this time. 88. It is important for me to: be financially successful. promote respect and the rights of others. accept and work within the chain of command in the organization. pioneer innovative changes in organizations. not applicable at this time. 89. It is important for me to: complete my education or training. experience the support of my peers. manage people efficiently. be assertive with others. not applicable at this time. 90. It is important for me to: be able to relax. be actively involved in the organizations to which I belong. create new ideas. be accepted and supported by my peers. not applicable at this time. 91. It is important for me to: appreciate and celebrate traditional holidays and historical events. be with people who respect elders and those in authority. give and receive physical affection. be responsible and dependable. not applicable at this time. 92. It is important for me to: be continually affirmed by my friends and social acquaintances. encourage good communications at all levels. encourage people to say what they feel. delegate authority and responsibility and be collaborative. not applicable at this time. 93. It is important for me to: discover new insights about myself. take complex ideas and convert them into practical technologies that improve society. discover new insights through study and observation. appreciate and celebrate tradition. not applicable at this time. 94. It is important for me to: promote respect and the rights of others. investigate, research and discover new truths. see that the rules and the law are followed. be involved in promoting the organization. not applicable at this time. 95. It is important for me to: be an advocate for the disadvantaged. see myself as equal to others with whom I live and work. strive for achievement and success. value fine workmanship. not applicable at this time. 96. It is important for me to: order life through personal discipline. work for organizational growth and development. build the group or team in order to maximize cooperation and personal creativity. strive for achievement and success. not applicable at this time. 97. It is important for me to: be involved in science and technology. be engaged in original research and pursuit of knowledge. take complex ideas and information and transform them into technologies that enrich life. be rational and objective. not applicable at this time. 98. It is important for me to: live simply even though I have the resources to do otherwise. administrate with efficiency and control. have everyone agree to be accountable to the rules. accept my limitations. not applicable at this time. 99. It is important for me to: make choices that make me more independent. help diverse groups realize they are dependent on one another and, thereby, work together creatively. administrate well. live by a set of ethical principles to which I hold myself accountable. not applicable at this time. 100. It is important for me to: clearly communicate verbal and written information. appreciate and help develop supportive teams and groups at all levels. be honest and caring but confrontive when necessary. enable groups to create something that is more than the sum of any individual's contribution. not applicable at this time. 101. It is important for me to: have a working knowledge of global economic trends in my professional life. be a financially successful person. see the law as a guide rather than a set of rules. win in a competitive situation. not applicable at this time. 102. It is important for me to: evaluate myself and everything I do to increase quality. stay ahead of the competition. be responsible and dependable. promote a global vision that will enrich peoples lives. not applicable at this time. 103. It is important for me to: be rational and objective. be productive by completing tasks and fulfilling expectations. promote physical, emotional, and spiritual health practices in myself and others. be a person skilled in establishing organizational objectives through group openness and reflection. not applicable at this time. 104. It is important for me to: be involved in science and technology. discover new insights through study and observation. be mutually accountable to the rules agreed to by my group. promote international uses of technology as a means to simplify life. not applicable at this time. 105. It is important for me to: be a self initiator in my decision making. plan so that things run smoothly and efficiently. appreciate pattern, order, and technical design. have time for the kind of leisure that enhances my creativity. not applicable at this time. 106. It is important for me to: enjoy the camaraderie which comes from the members conforming to the expectations of the group. have freedom to express myself. see that my country is powerful and respected. use my skills to start new organizations or transform existing ones. not applicable at this time. 107. It is important for me to: take pride in what I own and do. share my deepest hopes, joys and fears regularly with someone I love. have sufficient meditation time to put local events in perspective and see the wider global picture. enjoy the camaraderie which comes from members conforming to the expectations of the group. not applicable at this time. 108. It is important for me to: have others honor and respect me. be compassionate and generous toward others. have met my obligations and know I have done my duty. appreciate learning from my own mistakes. not applicable at this time. 109. It is important for me to: have working knowledge of global economic trends in my professional life. adapt well to life's changing situations and circumstances. promote the mission and objectives of my organization. be economically successful. not applicable at this time. 110. It is important for me to: trust, share with, and listen to others. be a leader who promotes cooperation and interdependent use of people's talents so that the whole organization benefits. develop a prophetic world vision. appreciate pattern, order, and technical design. not applicable at this time. 111. It is important for me to: be loyal and faithful to those with whom I live and work. expect that responsibility will be mutual. pioneer innovative changes in organizations. complete my education or training. not applicable at this time. 112. It is important for me to: follow the law and the rules. plan so that things run smoothly and efficiently. see law as a guide rather than a rule. use ritual to help others make sense out of life. not applicable at this time. 113.It is important for me to: put myself in another's place so I can understand what they understand. give and receive physical affection. expect responsibility to be mutual. expand people's awareness by talking about global issues and my vision for what might be done. not applicable at this time. 114.It is important for me to: direct my own activities. have others honor and respect me. practice spiritual non-attachment. be actively involved in human rights at a global level. not applicable at this time. 115.It is important for me to: follow the rules. delegate authority and responsibility to my colleagues and work collaboratively with them. spend time and energy on promoting human equality. encourage people to say what they feel. not applicable at this time. 116. It is important for me to: have met my obligations and know I have done my duty. set organizational objectives. build a community or team with members of differing cultural and ethnic backgrounds. be involved in justice issues at a global level. not applicable at this time. 117. It is important for me to: take my management position very seriously. put significant effort into quality and thoroughness. use ritual to help others make sense out of life. have time for the kind of leisure that enhances my creativity. not applicable at this time. 118. It is important for me to: take good physical care of myself. lead and promote cooperation and interdependent use of people's talents so that the whole organization benefits. expect responsibility to be mutual. experience the pride of ownership. not applicable at this time. 119. It is important for me to: maintain my independence. take pride in my country. encourage consensus decision making through shared, meditative reflection. build community in order to maximize cooperation and personal creativity. not applicable at this time. 120. It is important for me to: be productive by completing tasks and projects. use my skills to start corporations or improve existing ones. cooperate creatively to develop new ideas. Listen and respond to others in such a way that they see themselves more clearly. not applicable at this time. 121. It is important for me to: be supportive of and supported by my group. be a self initiator in my decision making. be involved in justice issues at a global level. be loyal and faithful to those with whom I live and work. not applicable at this time. 122. It is important for me to: accept my limitations. be thought of as responsible. respect and defend the rights of others. transcend my personal needs through the practice of non-attachment. not applicable at this time. 123. It is important for me to: be able to relax. help everyone to be accountable to the rules. actively contribute to the growth and expansion of my organization. learn from and laugh at my mistakes. not applicable at this time. 124. It is important for me to: be obedient and mutually accountable with my group. mutually share my deepest hopes, joys and fears mutually with another person. build a community or team with members of differing cultural and ethnic backgrounds. effectively bring people and systems together. not applicable at this time. 125. It is important for me to: know that the group's resources are more than the sum of the individual parts. pioneer innovative changes in organizations. have persons with whom I can trust and share my feelings. discover new insights through study and observation. not applicable at this time. Congratulations, you have completed the survey! Check to see that you have answered all the questions! If so, click AVC 326 Ravens View Drive Seneca, SC 29678 PH: 864-888-8770 LifeTour Survey (Copyright 2001 AVC, All Rights Reserved) (Some material by Copyright 2001 agreement with Values Technology, Inc.) Printed in the United States of America No part of this text may be used or reproduced without written permission
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AVC LifeTour 125 Question Survey