composed of several a3-sized writable cardboard sheets, each sheet contains a question. respondents mark their answers on a chart below, indicating their name and the time of response.
question set:
how much do you wish to see the person you want to see most at this moment? compared to the last time you answered this, is it the same person?
0 – 10 to indicate the level of yearning. black ink for first-time responses, blue ink if the person remains the same, red ink if the person has changed.
how much do you resist feeling lonely?
0-10
0=no resistance
how much do you resist thinking and talking about death?
0-10
0=no resistance
how seriously are you considering and answering these questions?
0-10
0=not at all serious
how free do you feel?
0-10
how do you think your future life will compare to your past life, better or worse?
-10 – 0 – +10
worse – similar – better
to what extent do you feel that you have been wasting time recently?
0-10
what is your level of self-control recently?
0-10
0=completely out of control
