Part I Here are a number of characteristics that may or 39.

___ gets nervous easily

may not apply to you. For example, do you agree that
this person is someone who likes to spend time with
others? Please write a number next to each statement
to indicate the extent to which you agree or disagree
with that statement.
40. ___ likes to reflect, play with ideas
41. ___ has few artistic interests
42. ___ likes to cooperate with others
43. ___ is easily distracted
44. ___ is sophisticated in art, music, or literature

Disagree Strongly 1 Disagree a little 2

Neither agree nor disagree 3 Agree a little 4
Part II On the test below, the first word in each line is
Agree Strongly 5
printed in capital letters. Opposite are four other words.
I See Myself as Someone Who . . . Circle the word that means the same thing or most
nearly the same thing, as the first word. A sample has
1. ___ is talkative
been worked out for you. If you don't know, then guess.
2. ___ tends to find fault with others
ALL questions must be answered!
3. ___ does a thorough job
4. ___ is depressed, blue Sample: WRITE work record understand ponder
5. ___ is original, comes up with new ideas
1. TALK draw eat speak sleep
6. ___ is reserved
2. PERMIT allow sew cut drive
7. ___ is helpful and unselfish with others
3. PARDON forgive pound divide tell
8. ___ can be somewhat careless
4. COUCH pin eraser sofa glass
9. ___ is relaxed, handles stress well
5. REMEMBER swim recall number defy
10. ___ is curious about many different things
6. TUMBLE drink dress fall think
11. ___ is full of energy
7. HIDEOUS silvery tilted young dreadful
12. ___ starts quarrels with others
8. CORDIAL swift muddy leafy hearty record
13. ___ is a reliable worker
9. EVIDENT green obvious skeptical afraid
14. ___ can be tense
10. IMPOSTER conductor officer book pretender
15. ___ is ingenious, a deep thinker
11. MERIT deserve distrust fight separate
16. ___ generates a lot of enthusiasm
12. FASCINATE welcome fix stir enchant
17. ___ has a forgiving nature
13. INDICATE defy excite signify bicker
18. ___ tends to be disorganized
14. IGNORANT red sharp uninformed precise
19. ___ worries a lot
15. FORTIFY submerge strengthen vent deaden
20. ___ has an active imagination
16. RENOWN length head fame loyalty
21. ___ tends to be quiet
17. NARRATE yield buy associate tell
22. ___ is generally trusting
18. MASSIVE bright large speedy low
23. ___ tends to be lazy
19. HILARITY laughter speed grace malice
24. ___ is emotionally stable, not easily upset
20. SMIRCHED stolen pointed remade soiled
25. ___ is inventive
21. SQUANDER tease belittle cut waste
26. ___ has an assertive personality
22. CAPTION drum ballast heading ape
27. ___ can be cold and aloof
23. FACILITATE help turn strip bewilder
28. ___ perseveres until the task is done
24. JOCOSE humorous paltry fervid plain
29. ___ can be moody
25. APPRISE reduce strew inform delight
30. ___ values artistic, aesthetic experiences
26. RUE eat lament dominate cure
31. ___ is sometimes shy, inhibited
27. DENIZEN senator inhabitant fish atom
32. ___ is considerate and kind to almost everyone
28. DIVEST dispossess intrude rally pledge
33. ___ does things efficiently
29. AMULET charm orphan dingo pond
34. ___ remains calm in tense situations
30. INEXORABLE untidy involatile rigid sparse
35. ___ prefers work that is routine
31. SERRATED dried notched armed blunt
36. ___ is outgoing, sociable
32. LISSOM moldy loose supple convex
37. ___ is sometimes rude to others
33. MOLLIFY mitigate direct pertain abuse
38. ___ makes plans and follows through with them
34. PLAGIARIZE appropriate intend revoke maintain
35. ORIFICE brush hole building lute
36. QUERULOUS maniacal curious devout complaining
37. PARIAH outcast priest lentil locker
38. ABET waken ensue incite placate
39. TEMERITY rashness timidity desire kindness
40. PRISTINE vain sound first level
In order to complete 41-60 follow these instructions:
Each dash (__) calls for either a number or a letter to be
filled in. Every line is a separate item. Take the items in
order, but don't spend too much time on any one.
41. 1 2 3 4 5 ___ 18 6
42. white black short long down ______
43. AB BC CD D__
44. Z Y X W V U ____
45. 12321 23432 34543 456_ _
46. NE/SW SE/NW E/W N/____
47. Escape scape cape __ __ __
48. oh ho rat tar mood __ __ __ __
49. A Z B Y C X D __
50. tot tot bard drab 537 __ __ __
51. mist is wasp as pint in tone __ __
52. 57326 73265 32657 26573 __ __ __ __ __
53. knit in spud up both to stay __ __
54. Scotland landscape scapegoat __ __ __ __ ee
55. surgeon 1234567 snore 17635 rogue __ __ __ __ __
56. tam tan rib rid rat raw hip __ __ __
57. tar pitch throw saloon bar rod fee tip end plank __
__ __ __ __ meal
58. 3124 82 73 154 46 13__
59. lag leg pen pin big bog rob __ __ __
60. two w four r one o three __
Part IV. Read each statement. Mark how much you
agree with each statement using the scale below. Write
your answer on the line provided before the number.
1-Extremely uncharacteristic of Me
2- Somewhat uncharacteristic of Me
3- Neither characteristic nor Uncharacteristic of Me
4- Somewhat characteristic of Me
5-Extremely characteristic of Me
Start here:
____1. Once in a while I can't control the urge to strike
another person.
____2. Given enough provocation, I may hit another
person.
____3. When somebody hits me, I hit back.
____4. I get into fights a little more than average
person.
____5. If I have to resort to violence to protect my right,
I will.
____6. There are people who pushed me so far that we
came to blows.
____7. I can't think of good reason for ever hitting a
person.
____8. I have threatened people I know.
____9. I have become so mad I have broken things.
____10. I tell my friends openly when I disagree with
them.
____11. I often find myself disagreeing with people.
____12. When people annoy me, I may tell them what I
think of them.
____13. I can't help getting into arguments when people
disagree with me.
____14. My friends say that I'm somewhat
argumentative.
____15. I flare up quickly but get over it quickly.
____16. When frustrated, I let my irritation show.
____17. I sometimes feel like a keg ready to explode.
____18. I am an even-tempered person.
____19. Some of my friends think I'm a hot headed
person.
____20. Sometimes I fly off the handle for no good
reason.
____21. I have trouble controlling my temper
____22. I am sometimes eaten up by jealousy.
____23. At times I feel I have gotten a raw deal out of
life.
____24. Other people always seem to get the breaks.
____25. I wonder why sometimes I feel so bitter about
things.
____26. I know that my "friends" talk about me behind
my back.
____27. I am suspicious of overly friendly stranger.
____28. I sometimes feel that people are laughing at me
behind my back.
____29. When people are especially nice, I wonder
what they want
Part II. Using the scale below, indicate how much you
have experienced each situation during the past six ATTITUDE TOWARDS MOTHER
weeks including today Write your answer in the space 5. My mother is the best.
provided before the number. Please answer all 25 items 6. My mother and I, loves cooking together.
7. I think that most mothers are extraordinary.
0= Never 1= Seldom 2- Sometimes 8. I like my mother but I hated her when she
3= Often 4= Always worked abroad.

____1. Feeling sad or blue. Interpretation Guide

____2. Criticizing yourself. 2 = completely rejects and depreciates
____3. Crying spells mother whom he considers over
____4. Feeling discouraged. demanding.
____5. Feeling hopeless. 1 = Sees mother’s fault but accepts and
____6. Low self-esteem. tolerates differences.
____7. Feeling worthless. 0 = express only positive feelings
____8. Shame. towards the mother
____9. Blaming others.
____10. Difficulty making decisions
ATTITUDE TOWARDS FAMILY
____11. Loss of interest in family and friends
9. When the odds are against me, I can overcome
____12. Loneliness.
it.
____13. Spending less time with family or friends 10. My family treats me like a mature person.
____14. Loss of motivation 11. Most families I know are strong.
____15. Loss of interest in work or other activities 12. When I was a child, my family struggled a lot
____16. Avoiding work or other activities because my father is sent to jail.
____17. Loss of pleasure or satisfaction in life
____18. Feeling tired Interpretation Guide
____19. Difficulty sleeping or sleeping too much 2 = feels rejected by the family which lacks
____20. Decreased or increased appetite. solidarity and which has constantly contended with
____21. Loss of interest in sex. difficulties.
____22. Worrying about your health 1 = aware that the family does not recognize
____23. Having suicidal thoughts. him as a mature person but has no difficulty in relating
with them.
____24. Thinking of death
0 = instability of the family domicile has had
____25. Plan for harming self
little effect on his favorable feeling towards
them.

ATTITUDE TOWARDS FATHER

1. I feel that my father seldom loss his job.
2. If my father would only spend more time with
us.
3. I wish my father have more confident in his
skills.
4. My father and I can make happy moments.
Interpretation Guide
2 = feels extreme hostility and contempt
with overt death wishes.
1 = admires father but wishes that their
relationship were closer.
0 = expresses complete satisfaction with
father’s personality.
ATTITUDE TOWARDS WOMEN
13. My idea of a perfect woman is God-centered
and loving.
14. I think most girls are different.
15. I believe most women are optimistic.
16. What I like least about men/women is being
rude.
Interpretation Guide
2 = extremely suspicious, possible homosexual
tendency
1 = high ideas but ambivalent feelings.
0 = only minor or superficial criticisms
ATTITUDE TOWARDS HETEROSEXUAL RELATIONSHIP
 17. When I see a man and woman together, I adore
them.
18. My feeling about married life should have an
open communication.
19. If I had sex relation, I will be faithful.
20. My view of sex life is the emotional connection
between two people.
Interpretation Guide
2 = appears to have given up achieving good sexual
adjustment
1 = deserved sexual experiences but reservation about
his ability to maintain marital relationship.
0 = indicates satisfaction towards this area
ATTITUDE TOWARDS FRIENDS & ACQUAINTANCES
21. I feel that a real friend is honest.
22. I don’t like people who are disrespectful.
23. The people I like best are courteous.
24. When I’m not around, my friends calls to check
on me.
Interpretation Guide
2 = suspicious and apparently seclusive
1= seems to wait approval of others before committing
himself emotionally
0 = express mutual relationship with friends and self
ATTITUDE TOWARDS PEOPLE SUPERVISED
25. If I am in charge, I will respect everyone.
26. If people work for me, I can be a firm leader.
27. The people who work for me are always
appreciated.
28. People who work for me usually are reliable.
Interpretation Guide
2 = feels he can handle or control hostility in handling
others
1 = feels capable of doing good supervisory but has
misgivings about assuming an authoritarian role.
0 = feels controllable and well accepted by
subordinates.
ATTITUDE TOWARDS SUPERVISOR AT WORK/SCHOOL
29. The men over me must be obeyed.
30. In school, my teacher is my second parent.
31. When I see the boss coming, I will greet him.
32. People whom I consider my superior are the
one with authority.
Interpretation Guide
2 = resents or fear authority
1 = mild difficulty in accepting difficulty
ATTITUDE TOWARDS COLLEAGUE AT WORK/SCHOOL
33. At work, I get along best with people who are
trustworthy.
34. Those I work with are collaborative and goal-
oriented.
35. I like working with people who are cooperative.
36. People who work for me usually are reliable.
Interpretation Guide
2 = feels rejected by colleagues, and condemns
them
1 = has some difficulty at work and depends on
colleagues
0 = expresses good mutual feelings
FEAR
37. I know it is silly, but I am afraid of
38. Most of my friends don’t know that I am afraid
of
39. I wish I could lose the fear of
40. My fears sometimes force me to
Interpretation Guide
2 = disturbed by the apparent fear of loving,
possibility to control his feelings
1 = fear of self-assertion which is fairly common and
not pervasive.
0 = lack of fear
GUILT FEELING
41. I would do anything to forget the time when my
sister used to scold me.
42. My greatest mistake was worrying about my
future.
43. When I was young, I felt guilty about being late.
44. The worst thing I ever did was being
perfectionist.
Interpretation Guide
2 = concerned with spiritual feeling and physical
sex drives
1 = has regret over past and seems mildly
disturbed by his failure to control his trouble.
0 = does not seem to be aware of guilt feelings
ATTITUDE TOWARDS OWN ABILITY
45. When the odds are against me, I can overcome
it.
46. I know it is silly, but I am afraid of to be
arrogant.
47. I am weak at smoking cigarettes.
 48. Compared to others, I am more optimistic than
them.
Interpretation Guide
2 = feels completely incompetent and hopeless
1 = feels he has a specific ability but tends to
fear difficulty
0 = confident on his ability to overcome
obstacles
63. My secret ambition in life is to live in our own
house.
64. I wish I could lose the fear of failure.
65. In giving orders to others, I will give proper
instructions.
.

ATTITUDE TOWARDS PAST

49. When I was a child, I can memorize a poem.
50. Before the war, I receiving awards in school.
51. If I am young again, I want to hug my
grandparents often.
52. My most vivid childhood memory was when my
grandmother applauded me for reciting a poem.

Interpretation Guide
2 = feels rejected and isolated
1 = feels well adjusted
0 = no significant disturbance in the past

ATTITUDE TOWARDS THE FUTURE

53. To me the future looks favorable for me.
54. I look forward to travel around the world.
55. Someday I, I can buy a farm lot.
56. When I am older

Interpretation Guide
2 = pessimistic, no hope in his own resources
for happiness and success
1 = unsure of himself but tries to be optimistic
0 = seems confident in achieving his goals

GOALS
57. I always wanted to be healthy and happy.
58. I would be perfectly happy if my family and I are
always happy.
59. What I want most out in life is to be kind and
happy.
60. When I’m not around, my friends calls to check
on me.

Interpretation Guide
2 = lack of motivation for achievement
1 = desires material things for family as well as
for himself

61. Compared with most families, mine is unique.

62. I believe that I have the ability to learn
everyday.