Hope Replenishing System Questions

Directions: On the lines below‚ please mark a “Y” for Yes or an “N” for No when answeringeach question.

1. ________Within in the last three weeks have you read a good book or gone to a movie?

2. ________Have you had a vacation in the last year?

3. ________Within the last week have you had a good belly laugh?

4. ________Within the last month have you worked on a creative project?

5. ________Within the last three months‚ have you spent money on yourself?

6. ________Within the last week have you exercised?

7. ________Within the next 6 months‚ have you planned something that you are lookingforward to doing?

8. ________Within the last month have you had a long chat with a good friend?

9. ________Within the last week have you had a nap or slept in?

10. ________Within the last month have you allowed yourself to have a good cry?

11. ________Within the last two weeks have you delegated one of your work tasks to ahelper?

12. ________Within the last week have you done nothing at all for a little while?

13. ________Within the last week have you attended a spiritual or worship activity?

14. ________Within the last month have you pampered yourself with a good bath‚ haircut‚manicure‚ or a pedicure.

15. ________ Within in the last month have you had a break‚ respite‚ long weekend‚ or aweek off?

Number you answered yes to.