Test Booklct- Fo1·m S (Adult)
raul T . Cosca. J1·.. PIID, and Rohc1•1 R . McCrnc. l"hD
(nstruclions
Wr11e only where md11~·J ted in [Link] booklet Carefully read aJI of the insrructions before
beginning. TI,is questionnarre contains 60 srntcments. Read eac h sratemeni carefully For each
state ment fill in the cin::le with the response that best represents yu,u r opimon. Make sure thal
your answer i~ in the correct box .
F_ill in @ if you strongly , lisagru or the slatemenr Is definitely false.
Fill m @ if you disog;u or Lhe siate ment is mostly false .
FilJ in @ i.f you are mmtral o n 1hc statement. if you cannot decide. or if the s tatement is about
equally [Link] and faJse .
Fill in@ 1f you ngrce or the swtc mcnt 1s mo:-tly true .
Fill in@, f you srru11gly agr<.'<' or 1l1c ~•nt~mc nt is dt.:finitcly true.
F,-ir cx:unple. if you strong ly d1~1grec or believe thar a [Link] is dcfinilely false . you would
fill in the @ for 1ha1 staloment.
Example
I Fill jn only one response for each statement Respond to all of the statements, making sure that
you fill in the correct response. DO NOT ERASE! If you need lo change an answer, make an "X"
through me incorrect response and lhen fill in the com:cl response.
Note that the responses are nwnbered in rows. Before responding to lhe statements. tum to the
inside of the bookJel and enter your name, age. gender. and today's dale.
m!! Ps)'dlologic;aJ [Link] Resources, IIK"~ •1620• N. flDridll Awna! • ldl. R. 33549 • 1.800.331.8378 •-parinc:.cont
Copyrighl C> 1971. 11185. 1989, 1991, 2003111 PsycnOloglcal A - - 1 R e - . Inc. /U righls .....,..._ May not be ~ in wt10le o, on pa,t
os,..,,,
an :any 10rm o, n - _._ ~ pe,,...._ 01 ~ A s s e - , t Raowces. k 1'1ia 10nn II p,tnWd in blue . . on••~-
Airy OI~ ..e~ is ur,aultlorin:d
g8 Reonb fR05048 Prinlad In Iha US.A.
Narne_ _ _ _ _ _ _ _ _ _ _Age
_ __ Gcn der_ _ _ Toda ys date_ __
1. I am not a worr ier.
2. I like to have a lot of peop le arou nd me.
3. I don' t like to wast e my time daydreaming.
4. I try to be cour teou s to ever yone I mee t
5. I keep my belongings neat and clean.
6. I often reel infer ior to othe rs.
7 . I laug h easily.
8. Once I find the righ t way to do something
, I stick to it
9. I ohen get into argu men ts with my fumily and
co-w orke rs.
10. I'm prett y good abou t paci ng myself so as
to get things done on time .
11. Whe n I'm !lnde r a grea t deal or stress, som
etim es I feel like I'm goin g to pieces.
12. J don' t cons ider mys elf espe ciall y 1igh t- hear
ted:
1 3. 1am intri gued by the patte rns I find in art
and natu re.
14. Som e peop le think I'm selfi sh and egotistica
l.
15. I am not a very meth odic al pers on.
16. I rarel y feel lonely or blue.
17. 1r t:ally enjoy talking to peop le.
18. I belie ve lettin g stud ents hear cont rove rsial
spea kers can only conf use and misl ead
them .
l '9. I wou ld rathe r coop erate with othe rs then
com pete with -them .
20. I try lo p~rform all the tasks assig ned to me cons
cientiously.
21. I often feel tense and jitte ry.
22. I like to be whe re the actio n is.
23. Poet ry has little or no effect on me.
24. I tend to be cynjcal and scep tical of othe rs' inten
tions.
25. I have a clear set of goal s anu work towa
rds them in an orderly..fash!OD ..
26. Som etim es I feel com plete ly wort hless.
27. l usua lly pref er to do thing s alon e.
28. I often try new and forei gn food .
29. I belie ve that mos t peop le will take adva ntag
e of you if you let them.
30. I was te a lot of time before settl ing down to work
.
31. I rare ly feel fearful or anxi ous.
32 ..! oih:r. feel as if I'm burs ting with ener gy.
33. 1seld om notic e the moo ds or feelings that diffe
rent envi ronm ents prod uce.
:H . ~fos t peop le I know like me.
35. r wor k hard to acco mpli sh my goal s.
at
3 6. I t,ften get angr y the way peop le trea t
me.
37. I am a chee rful. high - spiri ted pers on.
30. 1 belie ve we shou ld look to our relig ious
auth oriti es for deci sion s on mora l issue s.
39. Som e peop le think of me as cold and calcu
latin g.
40. Whe n I mnk e :1 com mitm ent, f c-an alwa ys
be coun ted on to follo w thro uglt
- ~ 41.
Too often, whe : things go wrong, I get disco
42. uraged and feel like giving up.
I don' t. get muc p1easure from chattin· "th
I g w1 1
43. Sometunes when am reading poetry or look peop e. . .
44. ing at a work of art, I feel a chill or wave of
I have no symp~thy for beggars. excitement.
45. S
s I' ID not as dependable or reliable as I should
·
ometime
be.
46. I am seldom sad or depressed.
).
47. My life is fast-paced.
48. I h-ave-little interest·in spe~~l; ting ~; the-n;tu
49. re of tile ~ niv;r;e · ; · ~ ; h~a n c~ndition.
I generally try to be thoughtful and considera 0
50. te. .
I am a productive person who always gets the
job done.
51.
I often feel helpless and want som
eone else to solve my problems.
52. I am a very active person.
' 'I-•.
53. I have a lot of
intellectual curiosity.
54. If I don 't like peop
le, I let them know it.
55. I never seem to
be able to get organized.
56: At times I have
been so ashamed I just wanted to hide.
57. I would rather
go my own way than be a leader of others.
58. I often enjoy play
ing with theories or abstract ideas.
59. If necessary
, I am Willing-to n:ianipulate peop~e ~o get wha
60. I strive for excellence·in t I want.
e~erything I do. ·
Ent er· your ~esponses here -rem emb ~r to
ente r responses [Link] the rows.
SD = Strongly Disagree; D =Disag,:ee; N =
ENTER Neutral; A= j\gree; SA= Strongly Agree
' ACROSS
I •
Now answer the three 9uestions labeled A, B,
and C below.
A. Have you responded to all of the statemen
ts? Yes No
B. Have you entered your responses across the
rows? Yes No
C. Have you responded accurately and honestly?
Yes _._ No
_j