Life Report

Carsten Ostergaard Pedersen hereby certifies that this is a preparation report that forms a part of the complete life assessment program. All answers in this report and the report itself will be kept 100% confidential between you (the Client) and Carsten Ostergaard Pedersen. The report will, at no time, be shown to, or discussed with any third party unless such action is requested by the Client.

Neuro Design International

Confidential – Neuro Design International – Life Report ___________________________________________________________________________

1. Who am I?

2. What do I look like?

3. How do other people see me?

4. What are my friends like?

5. What are my values?

6. How has life treated me so far? (Write your short life story).

7. What is good in my life?

Page 2 of 5

Confidential – Neuro Design International – Life Report ___________________________________________________________________________
8. What is bad in my life?

9. What are my strengths?

10. What are my weaknesses?

11. If you had 5 wishes that could be granted without any limitations, what would they be?

A.

B.

C.

D.

E.

12. Using the enclosed emotions chart, what are the emotions you feel most often and most strongly ?

Page 3 of 5

Confidential – Neuro Design International – Life Report ___________________________________________________________________________

13. What do I admire most about other people?

14. Who are my 5 top heroes?

A.

B.

C.

D.

E.

15. What do I dislike most about other people?

16. One day when I am lying in my coffin, what would I like people to say about me? (Write your own eulogy)

Page 4 of 5

Confidential – Neuro Design International – Life Report ___________________________________________________________________________

17. One day, when I am lying in my coffin, what would I like to have achieved in life?

18. Imagine you are still in the womb and you are given the opportunity to write your own life story for the life you are about to enter. Write your life story (Max 2 pages) and remember there are no limits to what you can achieve. Here are some examples of subjects you may like to consider:

o o o o o o o o

family; education; career, leisure, hobbies , interest; name; friends; mentors; and values.

19. Using the emotions chart, what will the 5 dominating emotions be in your future life? 20. On a daily basis, what are the things you think about the most?

Page 5 of 5

Sign up to vote on this title
UsefulNot useful