Gold Fame Citrus (17 page)

4. IN WHAT CAPACITY DO YOU KNOW THE APPLICANT?

• FRIEND
  
• FAMILY
  
• COLLEAGUE
  
• INTIMATE
  
• OTHER
  
• IF OTHER PLEASE SPECIFY: _________________________________
  

5. ON AVERAGE, HOW OFTEN DO YOU INTERACT WITH THE APPLICANT?

• DAILY
  
• WEEKLY
  
• MONTHLY
  
• SEMIANNUALLY
  
• ANNUALLY
  
• BIANNUALLY
  
• LESS THAN BIANNUALLY
  

6. DOES THE APPLICANT LACK IN ANY OF THE FOLLOWING WELLNESS ARENAS? MARK ALL THAT APPLY:

• INTELLECT
  
• DISCIPLINE
  
• PERSONAL FINANCE
  
• HYGIENE
  
• MORAL COMPASS
  
• PHYSICAL FITNESS
  
• TIME MANAGEMENT
  
• PRAGMATISM
  
• NONE OF THE ABOVE