HEALTH / LIFE ORIENTATION QUESTIONNAIRE
Thank you for taking this first step.
Thank you for being willing to reflect on your life and health by completing this questionnaire. Rest assured that the information is STRICTLY CONFIDENTIAL. I, Dr Frans Cronje, am the only one who has access to it.
The objective of these questions is to get a better sense of your own life story. It gives you the opportunity to reflect on the key relationships in your life, the ways you respond to painful situations, what gives you hope, and what the primary stressors in your life seem to be. It explores your ongoing challenges, primary needs, and potential resources.
Please allow the question to serve as a searchlight on your life. I encourage you to write down what you discover.
Please complete the information as thoroughly and transparently as possible. Where information is of a particularly sensitive nature, very painful, or possibly has legal implications, just indicate - "not sure" rather than omitting it altogether.
Please do not approach this like an exam: There is no perfect answer and you will not be condemned for being honest or venting your feelings. I welcome that. So, please don't enter useless information just to "check the box" or dismiss these issues altogether. The process is only as helpful as you allow it to be. If you want help, please have the courage be honest about your feelings.
So, please allow these questions to give you the opportunity to reflect on your life. Take your time on them. Leave and come back or even "sleep" on them. You may never have had the luxury to do so before. Often the apparent mysteries of health and recovery are hidden in plain sight. We hope that this process will assist you to find whatever they may be.
Dr Frans J Cronje