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Mentors Questionnaire
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Mentors Questionnaire
Mentors Questionnaire
Bruno Zimmerli
2021-03-09T00:27:01+01:00
Mentors Questionnaire
Erstes Treffen
Step
1
of
9
11%
1. Personal Data
Name
*
Email Address
*
Marital status
single
engaged
married
divorced
widowed
Date of birth
*
DD dot MM dot YYYY
Place of birth
2. Your childhood and family
2.2. How was your family?
Please descirbe in one sentence, how your upbringing was in your own opinion.
*
2.2. Who belongs to your family of origin?
My fathers name
*
How old is your father?
*
If deceased, please write "deceased".
My relationship with my father today is ...
*
Please describe briefly
My mothers name
*
How old is your mother?
*
If deceased, please write "deceased".
My relationship with my mother today is ...
*
Describe briefly
Siblings
*
Names • Age • My relationship to them today is
2.3. Trustworthy relastionships
Whom could you trust in your childhood?
*
2.4. Giftings and Strengths and weaknesses of my parents
Strengths and weaknesses ...
... of my father.
*
Please describe in a few words the strengths and weaknesses of your father's character.
... of my mother.
*
Please describe in a few words the strengths and weaknesses of your mothers's character.
Gifts and talents ...
... of my father.
*
Please describe your father's gifts and talents in a few words.
... of my mother.
*
Please describe your mothers's gifts and talents in a few words.
2.5. More questions about your childhood
List three of your strongest fears or anxieties in your childhood.
What were your strongest academic subjects at school?
What were your weakest academic subjects at school?
What might your family motto have been? What could have been the saying on the "sign above the front door?"
How was a Sunday usually spent as a family? How did you celebrate together?
How were you usually rewarded or punished?
I would describe my parents' parenting style as follows....
Was there a family taboo? Was there something that everyone in the family knew but no one was allowed to bring up?
What did your parents associate with the choice of your name? Do you know what your name means?
Who were your childhood friends?
Welche Erwartungen und Befürchtungen haben deine Eltern dir gegenüber gehabt?
What views did your parents instill in you about sexuality?
3. My professional life
Current occupation
What do you like and dislike about your job?
What would be your dream job or profession?
4. Recreation and hobbies
What things do you like to do in your free time?
What are your hobbies?
In which clubs or societies were you or are you a member?
What kind of music do you like?
What kind of movies do you like to watch?
What would be your favorite vacation destination?
5. My life of faith
To which church do you belong and since when?
How many times a week are you at your church?
Where and in which departments of your church are you involved?
I would describe my relationship with God as follows....
What do you enjoy most in your life of faith?
What troubles you most in your life of faith?
6. My current family situation
Name and Age of your spouse
How long have you been married?
How many years is the age difference to your spouse?
How long did you know your spouse before you married?
In which areas you have a good agreement with your spouse ?
What are the areas of conflict in your marriage?
Please describe your relationship with your spouse's relatives?
Do you have children of your own?
Yes
No
Does one of your children cause you any particular concern? Please describe briefly.
7. Self Description
Can you easily gain relationships and friendships and keep them?
The three most important people in my life are ...
I feel particularly insecure or anxious if ...
I relax and come to rest best when ...
I easily lose control of myself when ...
I easily lose control of myself when ...
My greatest personal weaknesses are ...
My greatest personal strenghts are ...
Please complete the following sentences:
I am ...
I wish for ...
If I could start all over again I would ...
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