Sample TR Assessment Questionnaire
Name:
Age:
1. What do you do in an average day?
2. Do you do anything to keep in shape?
3. What are your personal strengths? How do you feel about them?
4. Have you identified limitations? What are they, and how do you feel about them?
5. Which of your positive qualities and accomplishments have been noticed by others?
6. When you are confronted with choices about your leisure, how do you handle these?
7. Describe your relationship with family members, friends, and co-workers.
8. With whom do you have your closest relationships?
9. If you had to name a challenging situation in your life, what would you say?
10. Do you get satisfaction from taking on challenges?
11. What things do you do that make you most confident? Least confident?
12. What do you do for recreation and leisure? When? How often?
13. What activities are most likely to make you feel refreshed?
14. Are there activities you would like to try?
15. What do you do that brings you personal recognition and esteem?
16. What within you, or outside you, gives you the ability to control and determine things for yourself? What takes away control?
17. Are you fulfilling your goals in life? What are they?
18. What beliefs do you hold in terms of taking part in leisure?
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