Form IV

English

THE PREDICTIVE INDEX

Organization Survey
Checklist

Page 1

Name:_______________________________________________________Date:___________________

Occupation:__________________________________________________________________________

DIRECTIONS:

Please read the words in the list below and check those that you feel
describe the way you are expected to act by others.

Helpful . . . . . . . . . . . . n

Esteemed . . . . . . . . . . n

Calm . . . . . . . . . . . . . n

Relaxed . . . . . . . . . . . n

Worrying . . . . . . . . . . n

Popular . . . . . . . . . . . n

Exciting . . . . . . . . . . . n

Sentimental . . . . . . . . n

Polite . . . . . . . . . . . . n

Assertive . . . . . . . . . . n

Adventurous . . . . . . . . n

Dynamic . . . . . . . . . . . n

Patient . . . . . . . . . . . . n

Easy going . . . . . . . . . n

Good-humored . . . . . . n

Conscientious . . . . . . . n

Unassuming . . . . . . . . n

Escapist . . . . . . . . . . . n

Sophisticated . . . . . . . n

Good mixer . . . . . . . . . n

Generous . . . . . . . . . . n

Persistent . . . . . . . . . . n

Agreeable . . . . . . . . . n

Unobtrusive . . . . . . . . n

Earnest . . . . . . . . . . . n

Well-liked . . . . . . . . . n

Daring . . . . . . . . . . . . n

Outstanding . . . . . . . . n

Docile . . . . . . . . . . . . n

Tolerant . . . . . . . . . . . n

Sympathetic . . . . . . . . n

Demanding . . . . . . . . . n

Nice . . . . . . . . . . . . . n

Loyal . . . . . . . . . . . . . n

Charitable . . . . . . . . . n

Compelling . . . . . . . . . n

Self-starter . . . . . . . . . n

Persuasive . . . . . . . . . n

Resolute . . . . . . . . . . n

Conventional . . . . . . . . n

Careful . . . . . . . . . . . . n

Tranquil

Eloquent . . . . . . . . . . n

Satisfied . . . . . . . . . . n

Cultured . . . . . . . . . . . n

Cynical . . . . . . . . . . . n

Understanding . . . . . . . n

Dominant

Passive . . . . . . . . . . . n

Spirited . . . . . . . . . . . n

Respectful . . . . . . . . . n

Gentle . . . . . . . . . . . . n

Congenial . . . . . . . . . . n

Nonchalant . . . . . . . . . n

Brave . . . . . . . . . . . . . n

Obedient . . . . . . . . . .

Appealing . . . . . . . . . . n

Cheerful. . . . . . . . . . .

Thoughtful . . . . . . . . . n

Obstinate . . . . . . . . . .

Trusting . . . . . . . . . . . n

Self-assured . . . . . . . . n

Convincing . . . . . . . . . n

Eager . . . . . . . . . . . . . n

Steady . . . . . . . . . . . . n

Responsive . . . . . . . . . n

Shy . . . . . . . . . . . . . . n

Neighborly . . . . . . . . . n

Fussy . . . . . . . . . . . . . n

Selfish . . . . . . . . . . . . n

Versatile . . . . . . . . . . n

Reserved . . . . . . . . . . n

Amiable . . . . . . . . . . . n

Audacious . . . . . . . . . n

Serious . . . . . . . . . . . n

Diplomatic . . . . . . . . . n

Polished . . . . . . . . . . . n

Persevering . . . . . . . . n

Self centered . . . . . . . . n

Competitive . . . . . . . .

Fashionable . . . . . . . .
Neat . . . . . . . . . . . . .

n
n

Fearful . . . . . . . . . . . . n
Copyright 1955, 1963, 1988, 1992 by Arnold S. Daniels. All rights reserved. No part of
this form may be reproduced by any means, nor transmitted, nor translated into a machine
language without the written permission of the publisher.

.......... n
......... n

Flexible . . . . . . . . . . . n
Attractive . . . . . . . . . . n

Consistent . . . . . . . . . . n
Continue on other side of page . . .
9/92

Organization Survey
Checklist

Form IV
English
Page 2

Name:_____________________________________________________

Start on other side of page.

DIRECTIONS:

Continue by reading the words in the list below, now checking those that
you yourself believe really describe you.

Helpful . . . . . . . . . . . . n

Esteemed . . . . . . . . . . n

Calm . . . . . . . . . . . . . n

Relaxed . . . . . . . . . . . n

Worrying . . . . . . . . . . n

Popular . . . . . . . . . . . n

Exciting . . . . . . . . . . . n

Sentimental . . . . . . . . n

Polite . . . . . . . . . . . . n

Assertive . . . . . . . . . . n

Adventurous . . . . . . . . n

Dynamic . . . . . . . . . . . n

Patient . . . . . . . . . . . . n

Easy going . . . . . . . . . n

Good-humored . . . . . . n

Conscientious . . . . . . . n

Unassuming . . . . . . . . n

Escapist . . . . . . . . . . . n

Sophisticated . . . . . . . n

Good mixer . . . . . . . . . n

Generous . . . . . . . . . . n

Persistent . . . . . . . . . . n

Agreeable . . . . . . . . . n

Unobtrusive . . . . . . . . n

Earnest . . . . . . . . . . . n

Well-liked . . . . . . . . . n

Daring . . . . . . . . . . . . n

Outstanding . . . . . . . . n

Docile . . . . . . . . . . . . n

Tolerant . . . . . . . . . . . n

Sympathetic . . . . . . . . n

Demanding . . . . . . . . . n

Nice . . . . . . . . . . . . . n

Loyal . . . . . . . . . . . . . n

Charitable . . . . . . . . . n

Compelling . . . . . . . . . n

Self-starter . . . . . . . . . n

Persuasive . . . . . . . . . n

Resolute . . . . . . . . . . n

Conventional . . . . . . . . n

Careful . . . . . . . . . . . . n

Tranquil

Eloquent . . . . . . . . . . n

Satisfied . . . . . . . . . . n

Cultured . . . . . . . . . . . n

Cynical . . . . . . . . . . . n

Understanding . . . . . . . n

Dominant

Passive . . . . . . . . . . . n

Spirited . . . . . . . . . . . n

Respectful . . . . . . . . . n

Gentle . . . . . . . . . . . . n

Congenial . . . . . . . . . . n

Nonchalant . . . . . . . . . n

Brave . . . . . . . . . . . . . n

Obedient . . . . . . . . . .

Appealing . . . . . . . . . . n

Cheerful. . . . . . . . . . .

Thoughtful . . . . . . . . . n

Obstinate . . . . . . . . . .

Self-assured . . . . . . . . n

Convincing . . . . . . . . . n

Eager . . . . . . . . . . . . . n

Steady . . . . . . . . . . . . n

Responsive . . . . . . . . . n

Shy . . . . . . . . . . . . . . n

Neighborly . . . . . . . . . n

Fussy . . . . . . . . . . . . . n

Selfish . . . . . . . . . . . . n

Versatile . . . . . . . . . . n

Reserved . . . . . . . . . . n

Amiable . . . . . . . . . . . n

Audacious . . . . . . . . . n

Serious . . . . . . . . . . . n

Diplomatic . . . . . . . . . n

Polished . . . . . . . . . . . n

Persevering . . . . . . . . n

Self centered . . . . . . . . n

Competitive . . . . . . . .

Fashionable . . . . . . . .
Neat . . . . . . . . . . . . .

Fearful . . . . . . . . . . . . n

.......... n
......... n

Flexible . . . . . . . . . . . n

Attractive . . . . . . . . . . n
n

Trusting . . . . . . . . . . . n

Consistent . . . . . . . . . . n
Please turn in your paper..