Valued Directions
Below are areas of life that some people value. We are concerned with your quality of life in each of these areas. One aspect of quality of life involves the importance you put on different areas of living. First rate the importance of each area by circling a number on a scale of 0, 1, or 2. Not everyone will value all of these areas, or value all areas the same. Rate each area according to your own personal sense of importance. If you rated an area as unimportant (0), move right on to rate the importance of the next area. If you rated an area moderately or very important (1 or 2), make a rating of how satisfied you are with the quality and depth of your experience in this area of life. Then rate how often you have done something to move you forward in this area during the last week. After completing your ratings, write down your intention of how you would like to live your life in that area (e.g., what is most important to you in that area?) Always leave the second line (barriers) blank. We will discuss them and complete those lines in the next session.
Family (other than marriage or parenting): How do you want to interact with your family members? What type of sister or brother do you want to be? What type of son or daughter do you want to be? 
How important is this area to you?
0 = not at all	1 = moderately	2 = very important	
Overall, how satisfied are you with the quality and depth of your experience in this area of life?
0 = not at all	1 = moderately	2 = very important	
How often have you done something to move you forward in this area during the last week?
0 = no action	1 = once or twice	
2 = three or four times	3 = more than four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Intimate Relationships (e.g., marriage, couples): What is your ideal relationship like? What type of relationship would you like to have? What kind of partner do you want to be in an intimate relationship? How would you treat your partner?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________

Parenting: What type of parent do you want to be? How do you want to interact with your children?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Friends / Social Life: What type of friend do you want to be? What does it mean to be a good friend? How would you behave toward your best friend? Why is friendship important to you? 
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Work / Career: What do you value about your work? Financial security? Intellectual challenge? Independence? Prestige? Getting to interact with other people? Helping people? What type of work would you like to do?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________

Education / Training: Why is learning important to you? Are there any skills you’d like to learn?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Recreation/Fun: What type of activities do you enjoy? What type of activities would you really like to engage in? Why do you enjoy them? 
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Spirituality: This domain is about faith and spirituality rather than organized religion. Why is faith important to you? If this is important in your life, what is it that makes this so important?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________

Citizenship/Community Life: What can you do to make the world a brighter place? Are community activities (e.g., volunteering, voting, recycling) important to you? Why?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________
Health/Physical Self-Care: What issues related to health and physical well-being do you care about (e.g., sleep, diet, exercise)? Why and how do you take care of yourself?
Importance:	0 = not at all     important	1 = moderately     important	2 = very important	
Satisfaction:	0 = not at all     satisfied	1 = moderately     satisfied	2 = very satisfied	

Actions (last week):	0 = no     action	1 = once or     twice	2 = three or     four times	3 = more than
   four times	
Intention: ______________________________________________________________________________
Barriers:  ______________________________________________________________________________