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Appendix III Life Skills Questionnaire: Instructions
Appendix III Life Skills Questionnaire: Instructions
Instructions:
This questionnaire is to assess a set of different abilities based on your own
experience. Each adolescent has his/her specific abilities for adaptation.
Answer all questions as frankly as possible.
There is no right or wrong answers. Do not leave any questions.
There is no time limit but it normally takes about 30 - 35 minutes to complete all
questions.
Do not spend too much time on ANY one question, proceed to the next and come
back to it later.
Confidentiality will be maintained
Rate the following statements and circle the number in the ANSWER SHEET
which reflects your response as per the rating given below.
4 = Strongly Agree (SA)
3= Agree (A)
2 = Disagree (D)
1 = Strongly Disagree (SDA)
SI. Questions Ratings
No.
S A D SD
A A A
1 I am confident about my abilities. 4 3 2 1
2 I have the ability to express my true feelings. 4 3 2 1
3 I can introduce myself to new people 4 3 2 1
A____ I have the ability to be a good listener 4 3 2 1
_5_____ I can ask for help when in need 4 3 2 1
6 I can accept suggestions from others 4 3 2 1
7 I can solve puzzles and brain teasers 4 3 2 1
8 I can critically examine information 4 3 2 1
9 I can control my emotions 4 3 2 1
10 I can control my anger 4 3 2 1
11 I am not confident of my abilities 4 3 2 1
12 I have the ability to keep secrets about myself 4 3 2 1
J3____ I cannot mix well with people. 4 3 2 1
J4____ I cannot concentrate for long. 4 3 2 1
15 I cannot take decisions on my own 4 3 2 1
16 I cannot look at my problems positively 4 3 2 1
17 I do not have the talent to solve puzzles and cross 4 3 2 1
words
18 I can accept information without fudging. 4 3 2 1
_!2____ I do not have the ability to control my emotions. 4 3 2 1
20 I do not have the ability to control my anger 4 3 2 1
21 I can appreciate other’s talents 3 2 1
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