01. Did you have enough energy to carry out the important activities of your day?
Answer (1–10 or N/A): __________
REFLECTION WORKBOOK · 50 QUESTIONS
A personal and spiritual self-assessment to identify areas that need care and choose next steps. It is not a diagnosis nor a measure of your worth or your salvation.
Print this page or write your answers privately. In the last 30 days, how often did each situation happen? Consider only the opportunities you actually had.
1 = never · 5–6 = about half the time · 10 = always. Use N/A when it doesn't apply or you'd rather not answer.
This version is a workbook to fill in by hand. It does not collect data, calculate results automatically, or send emails.
01. Did you have enough energy to carry out the important activities of your day?
Answer (1–10 or N/A): __________
02. Did you set aside time to care for your body in a way that was doable for you?
Answer (1–10 or N/A): __________
03. Did you spend some time learning something you wanted to understand better?
Answer (1–10 or N/A): __________
04. When something came up that you didn't understand, did you skip looking for an explanation even though you had the chance?
Answer (1–10 or N/A): __________
05. When you noticed a strong emotion, were you able to pause before acting?
Answer (1–10 or N/A): __________
06. After a setback, did you find it hard to get back to what you needed to do?
Answer (1–10 or N/A): __________
07. Did you find meaning in any of the activities you carried out during the day?
Answer (1–10 or N/A): __________
08. Did you spend time on something you consider important for the direction of your life?
Answer (1–10 or N/A): __________
09. Before taking on an expense, did you check whether it fit within your means?
Answer (1–10 or N/A): __________
10. Did you put off looking at a bill or financial commitment because it was uncomfortable?
Answer (1–10 or N/A): __________
11. Did you do something practical to improve a situation beyond your own needs?
Answer (1–10 or N/A): __________
12. When you noticed a need around you, did you look for a way to contribute within your means?
Answer (1–10 or N/A): __________
13. When you were in contact with someone in your family, did you set aside attention for that person?
Answer (1–10 or N/A): __________
14. Were you able to communicate a need of yours to your family clearly and respectfully?
Answer (1–10 or N/A): __________
15. When talking with your partner, did you try to understand how they were feeling?
Answer (1–10 or N/A): __________
16. Did you put off an important conversation with your partner, even though there was a safe moment to talk?
Answer (1–10 or N/A): __________
17. Did you have contact with someone you could talk to freely?
Answer (1–10 or N/A): __________
18. Did you find room in your routine to nurture a friendship?
Answer (1–10 or N/A): __________
19. Did you do an activity you enjoy simply for the pleasure of doing it?
Answer (1–10 or N/A): __________
20. Even with an opportunity for leisure, did you let it pass because you felt you had to keep producing?
Answer (1–10 or N/A): __________
21. Were you able to enjoy a pleasant moment while it was happening?
Answer (1–10 or N/A): __________
22. Did you feel satisfaction in some aspect of the life you have today?
Answer (1–10 or N/A): __________
23. Did you set aside a moment to reflect on your relationship with God?
Answer (1–10 or N/A): __________
24. Did you notice a connection between your spiritual convictions and a choice you made that day?
Answer (1–10 or N/A): __________
25. Before a decision that weighed on you, did you bring that situation to God in prayer?
Answer (1–10 or N/A): __________
26. On an ordinary day, did you set aside a moment to talk with God?
Answer (1–10 or N/A): __________
27. After reading or hearing a biblical teaching, did you try putting it into practice?
Answer (1–10 or N/A): __________
28. Did you put off engaging with the Bible, even though there was an opportunity that fit your routine?
Answer (1–10 or N/A): __________
29. When someone needed to talk, did you offer attention before offering a solution?
Answer (1–10 or N/A): __________
30. When you met someone in difficulty, did you try to understand the situation before forming an opinion?
Answer (1–10 or N/A): __________
31. When you realized you had hurt someone, did you look for a safe way to repair what you did?
Answer (1–10 or N/A): __________
32. When you had the chance, did you use someone's old mistake to win an argument?
Answer (1–10 or N/A): __________
33. When you noticed a mistake of yours that could have gone unnoticed, did you take action to correct it?
Answer (1–10 or N/A): __________
34. When telling what happened, did you stick to the facts even when it didn't favor your image?
Answer (1–10 or N/A): __________
35. Faced with something you couldn't solve, did you hand that worry over to God in prayer?
Answer (1–10 or N/A): __________
36. Faced with a hard choice, did you run on autopilot without making room to seek God's direction?
Answer (1–10 or N/A): __________
37. Did you set aside part of what you had available to meet someone else's need?
Answer (1–10 or N/A): __________
38. Before committing your time, did you consider the responsibilities you had already taken on?
Answer (1–10 or N/A): __________
39. When you noticed a necessary task, did you help even when it would get little attention?
Answer (1–10 or N/A): __________
40. Did you offer one of your skills to help someone, while respecting your own limits?
Answer (1–10 or N/A): __________
41. Did you take part in a moment of faith with other people, in person or remotely, as you were able?
Answer (1–10 or N/A): __________
42. Did you check in on how someone in your faith community was doing, beyond a quick greeting?
Answer (1–10 or N/A): __________
43. When you received an observation about your attitude, did you try to understand what you could learn from it?
Answer (1–10 or N/A): __________
44. In a hard conversation, were you busier defending your image than listening?
Answer (1–10 or N/A): __________
45. When you felt provoked, were you able to choose a respectful response?
Answer (1–10 or N/A): __________
46. When an urge came up that went against a commitment of yours, did you pause before deciding?
Answer (1–10 or N/A): __________
47. Did you thank God for something simple that happened during the day?
Answer (1–10 or N/A): __________
48. When you saw someone else's achievement, did you start to devalue something good in your own life?
Answer (1–10 or N/A): __________
49. When someone showed openness to talk about faith, did you respectfully share something from your walk?
Answer (1–10 or N/A): __________
50. Did you show the care of Jesus to someone through a concrete action?
Answer (1–10 or N/A): __________
For reverse questions, convert the answer using 11 minus the answer. For the others, keep the value. Exclude N/A. Calculate each dimension only when both of its questions have an answer; otherwise, mark it “incomplete”. Do not produce an overall faith score.
| Dimension | Questions | Reverse |
|---|---|---|
| Health and energy (life) | 1, 2 | None |
| Intellectual growth (life) | 3, 4 | 4 |
| Emotional balance (life) | 5, 6 | 6 |
| Fulfillment and purpose (life) | 7, 8 | None |
| Financial resources (life) | 9, 10 | 10 |
| Social contribution (life) | 11, 12 | None |
| Family (life) | 13, 14 | None |
| Romantic relationship (life) | 15, 16 | 16 |
| Social life (life) | 17, 18 | None |
| Hobbies and fun (life) | 19, 20 | 20 |
| Fullness and happiness (life) | 21, 22 | None |
| Spirituality (life) | 23, 24 | None |
| Prayer and dependence on God (faith) | 25, 26 | None |
| Word and application (faith) | 27, 28 | 28 |
| Love and compassion (faith) | 29, 30 | None |
| Forgiveness and repair (faith) | 31, 32 | 32 |
| Integrity and truth (faith) | 33, 34 | None |
| Trust in God (faith) | 35, 36 | 36 |
| Generosity and stewardship (faith) | 37, 38 | None |
| Service and willingness (faith) | 39, 40 | None |
| Fellowship and mutual care (faith) | 41, 42 | None |
| Humility and willingness to learn (faith) | 43, 44 | 44 |
| Self-control and gentleness (faith) | 45, 46 | None |
| Gratitude and contentment (faith) | 47, 48 | 48 |
| Witness and mission (faith) | 49, 50 | None |
A lower average may point to an area that deserves attention, but it may also reflect difficult circumstances. Choose one dimension and write a concrete example, a doable action, and who can help. There are no validated clinical or spiritual ranges for these scores.
Example: “I want to be more present. This week, I'll set aside a phone-free conversation on Tuesday.” Reflect again after a while, and look at your circumstances too, not just the numbers.
Editorial questionnaire under review, without psychometric validation. No questionnaire prevents idealized answers. Questions about concrete situations help reflection, but they do not detect lying.
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