Field of Consciousness
Individual Survey Calibrations
Hidden Determinants of Human Behavior
(where nothing is hidden)

Name:
Date: 


1.                ______Consciousness

2.                ______Relationship/partner

3.                ______Consciousness at Birth

4.                ______Mental balance

5.                ______Emotional balance

6.                ______Physical  balance

7.                ______Spiritual development

8.                ______Health consciousness

9.                ______Prosperity consciousness

10.              ______Life force

11.              ______Truth consciousness

12.              ______Evolutionary development

13.              ______Current capacity

14.              ______Perseverance

15.              ______Receptivity

16.              ______Current level of Health

17.              ______Happiness

18.              ______Humility

19.              ______Willingness to change

20.              ______Libido (sexual energy)

21.              ______Compassion

22.              ______Relationship Compatibility

23.              ______Acceptance

24.              ______Insecurity

25.              ______Relationship resolution

26.              ______Physical coordination

27.              ______Fear

28.              ______Resolution of ego

29.              ______Faith in God

30.              ______Forgiveness

31.              ______Fear of death

32.              ______Attachments

33.              ______Ability to express love

34.              ______Ability to love yourself

35.              ______Judgment, condemnation & criticism

36.              ______Living in denial

37.              ______Power

38.              ______Force

39.              ______Level of Pain

40.              ______Level of Integrity

41.              ______Mercy

42.              ______Repressed Anger

43.              ______Level of unconscious

44.              ______Addiction level

45.              ______Fruit of the spirit

46.              ______Stress level

47.              ______Impact of stress on health

48.              ______Guilt

49.              ______Work stress

50.              ______Family stress

51.              ______Relationship stress

52.              ______Financial stress

53.              ______Freedom

54.              ______Peace

55.              ______Energy center

56.              ______Color

57.              ______Obeying God’s laws

58.              ______Knowing God’s laws

59.              ______Surrender

60.              ______Control

61.              ______Male Energy

62.              ______Female Energy

63.              ______Energy centers balance

64.              ______1. ______2. ______3. ______4. ______5. ______6. ______7.