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Q) For what problems/issues are you here today? _____________________________________________________________ Q) What do you hope we can help with? _____________________________________________________________ Q) How much do you need help immediately? Not very much Very, very much 1 2 3 4 5 6 7 8 9 10 _____________________________________________________________ Q) What is your name? _____________________________________________________________ Q) What is your real, birth name? _____________________________________________________________ Q) Where and when were you born? _____________________________________________________________ Q) What is your date of birth? _____________________________________________________________ Q) Where did you go to high school? _____________________________________________________________ Q) Where did you go to college? _____________________________________________________________ Q) What's your father's name? _____________________________________________________________ Q) What's your mother's birth name? _____________________________________________________________ Q) Where were they both born? _____________________________________________________________ Q) What is a good character? _____________________________________________________________ Q) What is your mailing address? _____________________________________________________________ Q) What is your Email address? _____________________________________________________________ Q) Are you a male or a female? _____________________________________________________________ Q) What has been your mailing address from the time of your birth until now? _____________________________________________________________ Q) Which language do you use with your parents, relatives, and teachers? _____________________________________________________________ Q) Which language should you use with parents, relatives, and teachers? _____________________________________________________________ Q) What's your political affiliation? _____________________________________________________________ Q) How important is religion? _____________________________________________________________ Q) Why do people do what they do? _____________________________________________________________ Q) Why seek counseling? _____________________________________________________________ Q) When should you seek counseling? _____________________________________________________________ Q) Do you need counseling? _____________________________________________________________ Q) What do you know about counseling? _____________________________________________________________ Q) What do you know and how do you know it? _____________________________________________________________ Q) What are the different types of counseling? _____________________________________________________________ Q) What kind of counseling will you need? _____________________________________________________________ Q) What are the consequences of applying the wrong type of counseling to a situation? _____________________________________________________________ Q) What are some examples of counseling sabotage? _____________________________________________________________ Q) Who should be reprimanded/disciplined/punished for counseling sabotage? _____________________________________________________________ Q) What punishments do they deserve? _____________________________________________________________ Q) What happens to the information about the client? _____________________________________________________________ Q) What can I talk with my counselor about? _____________________________________________________________ Q) How long does counseling take? _____________________________________________________________ Q) In case of an emergency what phone number can I use to reach you? _____________________________________________________________ Q) In case of an emergency at what email can I reach you? _____________________________________________________________ Q) What is the date today? _____________________________________________________________ Q) Can you count from 1 to 10? _____________________________________________________________ Q) Can you count backwards from 10 to 1? _____________________________________________________________ Q) What's your address? _____________________________________________________________ Q) Where are you located now? _____________________________________________________________ Q) Who needs counseling? _____________________________________________________________ Q) What determines human behavior? _____________________________________________________________ Q) Can we control and manipulate human behavior? _____________________________________________________________ Q) What are the dangers in our ability to control and manipulate behavior? _____________________________________________________________ Q) How can we prevent unethical people from using these devices to serve their own selfish ends? _____________________________________________________________ Q) What type of counseling will you need? _____________________________________________________________ Q) What is counseling? _____________________________________________________________ Q) Do I need counseling? _____________________________________________________________ Q) Why do I need counseling? _____________________________________________________________ Q) What kind of counseling will I need? _____________________________________________________________ Q) Do you know the consequences of wrong referrals? _____________________________________________________________ Q) Why do you need counseling? _____________________________________________________________ Q) Which kind of counseling is most effective? Why? _____________________________________________________________ Q) Why seek counseling? _____________________________________________________________ Q) When should you seek counseling? _____________________________________________________________ Q) Why do you need this counseling? _____________________________________________________________ Q) What happens to the information about the client? _____________________________________________________________ Q) What can I talk with my counselor about? _____________________________________________________________ Q) How long does counseling take? _____________________________________________________________ Q) What is the date today? _____________________________________________________________ Q) How many psychologists, muftis, Imams and priests are there in ______? _____________________________________________________________ Q) What do these psychologists, muftis, Imams and priests know about case management? _____________________________________________________________ Q) How do they manage their cases? _____________________________________________________________ Q) How do you manage cases? _____________________________________________________________ Q) How should you manage cases? _____________________________________________________________ Q) How does counseling work? _____________________________________________________________ Q) Do you know that a person's behavior can be modified? _____________________________________________________________ Q) Do you know a person can be brainwashed? _____________________________________________________________ Q) Do you know human behaviour can be controlled both overtly and covertly? _____________________________________________________________ Q) Do you know human behaviour can be manipulated both overtly and covertly? _____________________________________________________________ Q) What do you know about monopolies? _____________________________________________________________ Q) What is an embarrassment? _____________________________________________________________ Q) Can you explain what's it like to be embarrassed? _____________________________________________________________ Q) Did you ever feel embarrassed? _____________________________________________________________ Q) What was the scenario? _____________________________________________________________ Q) What are the issues? _____________________________________________________________ Q) What are the different solutions? _____________________________________________________________ Q) What is the best solution? _____________________________________________________________ Q) Is the claim any one of these? _____________________________________________________________ Psychological torture _____________________________________________________________ Physical torture _____________________________________________________________ Corruption in politics of regulations _____________________________________________________________ Racism _____________________________________________________________ Deprivations of rights under the color of law _____________________________________________________________ Political abuse _____________________________________________________________ Discrimination _____________________________________________________________ Disruption _____________________________________________________________ Exclusion Do you ever feel unsafe where you live? _____________________________________________________________ Q) What do psychologists, muftis, Imams and priests in different fields do? Next Profile Rate yourself on each with a scale of 0 to 4 based upon your current thoughts, feelings, and behaviors: 0 = I never think, feel, or behave this way. 1 = I do less than half the time. 2 = I do 50% of the time. 3 = I do more than half the time. 4 = I always think, feel, or behave this way. _____1. I like and accept myself as I am right now, today, even as I grow and evolve. _____2. I am worthy simply for who I am, not what I do. I do not have to earn my worthiness. _____3. I get my needs met before meeting the wants of others. I balance my needs with those of my partner and family. _____4. I easily release negative feelings from other’s judgments and focus instead on living my life with integrity and to the best of my abilities. _____5. I always tell myself the truth about what I am feeling. _____6. I am incomparable and stop comparing myself with other people. _____7. I feel of equal value to other people, regardless of my performance, looks, IQ, achievements, or possessions. _____8. I am my own authority. I make decisions with the intention of furthering my own and others’ best interests. _____9. I learn and grow from my mistakes rather than deny them or use them to confirm my unworthiness. ____10. I stop my critical self-talk and replace it with a nurturing, kind, encouraging voice. ____11. I love, respect, and honor myself. ____12. I am not responsible for anyone else’s actions, needs, choices, thoughts, moods, or feelings, only for my own. ____13. I do not dominate others or allow others to dominate me. ____14. I have good physical and emotional boundaries with others. ____15. I feel my own feelings and think my own thoughts, even when those around me think or feel differently. ____16. I stop using "shoulds" and "oughts," which are value judgments that put me or another down. (It is irrelevant what I should have done or should do. It is more important to know what I am willing to do and not do.) ____17. I am responsible for changing what I do not like in my life. I face my problems, fears, and insecurities and take appropriate steps to heal and grow. ____18. I am a person of my word and follow through on the things I commit to do. ____19. I forgive myself and others for making mistakes and being unaware. ____20. I believe my life counts. I find meaning and have purpose in my life. ____21. I deserve love and happiness even when others blame or criticize me, for I cannot control what others think about me. ____22. I take care of myself on all levels: physical, social, emotional, mental, and spiritual. ____23. I spend quality time with myself on a regular basis. ____24. I release unreal expectations for myself and others. ____25. I choose to love and respect all human beings regardless of their beliefs and actions; some I have a personal relationship with and most I do not. |