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Date: _______________________________
Class: _______________________________
Block:______________________________
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4. What are five words that you would use to describe me and/or my personality?
i. _______________________________________________________________________
ii. _______________________________________________________________________
iii. _______________________________________________________________________
iv. _______________________________________________________________________
v. _______________________________________________________________________
5. What would you describe as my three best qualities? These should be things that I am good at
and/or qualities that make me a good person.
i. ________________________________________________________________________
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ii. ________________________________________________________________________
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iii. ________________________________________________________________________
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6. What is one aspect of my life that could use improvement? How would you suggest that I
improve this aspect of my life?
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7. What is one piece of advice that you have for me that would help me be successful in life (other
than what you have already suggested in Question #5)?
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