Instructions |
Almost
all of the questions asked in this survey use
a seven-point scale as the method of response.
This means you will see something that looks like
this under every statement: |
Strongly
Disagree |
Strongly
Disagree |
Somewhat
Disagree |
Neutral |
Agree |
Somewhat
Agree |
Agree |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| The number that you select
is meant to indicate response points on a scale
ranging from strongly disagreeing with the prior
statement to strongly agreeing with the statement.
It might help to think about the different points
on the scale as meaning. |
| |
| 1.At home, work,
or school, I find my mind wandering from tasks that
are uninteresting or difficult. |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 2. I find it difficult
to read written material unless it is very interesting
or very easy. |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 3. 3. Especially in groups, I
find it hard to stay focused on what is being said
in conversations. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 4. I am irritable, and get upset by
minor annoyances. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 5. I say things without thinking,
and later regret having said them. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 6. I make quick decisions without
thinking enough about their possible bad results. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 7. My relationships with people are
made difficult by my tendency to talk first and
think later. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 8. My moods have highs and lows. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 9. I have trouble planning in what
order to do a series of tasks or activities. |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
| 10. When I do poorly on an exam or
paper, my self-esteem suffers. |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
| |
| Nationality (country
of birth): British |
Sex
(Male/Female): Male |
Age:
25 |
How many years
of Education have you completed?
Put 12 for High School Diploma
Put 16 for college diploma (bachelor's degree).
Put 20 for doctorate degree (Ph.D., M.D., etc).
|
| |
Education:
16 |
| |
Comments: |
|
I like this
kind of survey. But would you give me the result
or the analysis as quickly as possible?
I also like the other kind of survey such as personality
survey or self-perception survey. |