____ Achievement

To accomplish something important in life, to succeed at what I am doing

____ Aesthetics

To be able to appreciate beauty and be creative

____ Authority/Power

To be a key decision maker and direct other’s activities

____ Adventure

To experience variety and excitement, and to respond to challenging opportunities

____ Autonomy

To be independent, to have freedom and do what I want to do

____ Health

To be physically, mentally and emotionally well, to feel energetic and to have a sense of well being

____ Integrity

To be honest and straightforward, just and fair

____ Friendship

To have close personal relationships, to share love with family and friends

____ Pleasure

To experience enjoyment and satisfaction from activities in which I participate

____ Recognition

To be seen as successful, receive acknowledgement for achievement

____ Security

To feel stable and comfortable with few changes or anxieties in my life

____ Sense of Humor

To keep life experiences in perspective through appropriate use of humor

____ Service

To provide for the community through contributing time, money, or skills

____ Spiritual Growth

To have harmony with the infinite source of life

____ Financial Wealth

To acquire enough money to be financially independent

____ Wisdom

To have insight, to be able to pursue new knowledge and have clear judgment

____ Other _______________________________

____ Other _______________________________