Background Information

Biological Sex: ___________________

Year in school: __________________

Wake GPA: ____________

Do you have siblings: Yes ____ No _____

If yes, which “birth order” are you? First-born _____

Second-born _____

Later-born ____


Test #1

Here are a number of characteristics that may or may not apply to you. Please circle true or false.

True False 1. As a teenager, I got into lots of trouble because of bad school behavior.

True False 2. I do what I want without worrying about its effect on others.

True False 3. Punishment never stopped me from doing what I wanted.

True False 4. I guess I didn’t take many of my family responsibilities as seriously as I should.

True False 5. I’ve gotten into trouble with the law a couple of times.

True False 6. I’m very good at making up excuses when I get into trouble.

True False 7. I act quickly much of the time and don’t think things through as I should.

True False 8. People tell me that I’m a very proper and moral person.

True False 9. People make fun of me behind my back, talking about the way I act or look.

True False 10. A long time ago, I decided it’s best to have little to do with people.

True False 11. When I’m alone, I often feel the strong presence of someone nearby who can’t be seen.

True False 12. People think I sometimes talk about strange or different things than they do.

True False 13. I can tell that people are talking about me when I pass by them.

True False 14. I don’t understand why some people smile at me.

True False 15. I get very tense with people I don’t know well because they may want to harm me.

True False 16. I often get lost in my thoughts and forget what’s going on around me.


Test #2

Here are a number of characteristics that may or may not apply to you. For example, do you agree that you are someone who likes to spend time with others? Please choose a number for each statement to indicate the extent to which you agree or disagree with that statement.

Disagree strongly Disagree a little Neither agree nor disagree Agree a little Agree strongly

1-----------------------2--------------------------------3----------------------------------4----------------------5

I see myself as someone who…


____ 1. is talkative

____ 2. tends to find fault with others

____ 3. does a thorough job

____ 4. is depressed, blue

____ 5. is original, comes up with new ideas

____ 6. is reserved

____ 7. is helpful and unselfish with others

____ 8. can be somewhat careless

____ 9. is relaxed, handles stress well

____ 10. is curious about many different things

____ 11. is full of energy

____ 12. starts quarrels with others

____ 13. is a reliable worker

____ 14. can be tense

____ 15. is ingenious, a deep thinker

____ 16. generates a lot of enthusiasm

____ 17. has a forgiving nature

____ 18. tends to be disorganized

____ 19. worries a lot

____ 20. has an active imagination

____ 21. tends to be quiet

____ 22. is generally trusting

____ 23. tends to be lazy

____ 24. is emotionally stable, not easily upset

____ 25. is inventive

____ 26. has an assertive personality

____ 27. can be cold and aloof

____ 28. perseveres until the task is finished

____ 29. can be moody

____ 30. values artistic, aesthetic experiences

____ 31. is sometimes shy, inhibited

____ 32. is considerate and kind to almost everyone

____ 33. does things efficiently

____ 34. remains calm in tense situations

____ 35. prefers work that is routine

____ 36. is outgoing, sociable

____ 37. is sometimes rude to others

____ 38. makes plans and follows through with them

____ 39. get nervous easily

____ 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, literature



Test #3

1. Is there a feeling in your family that everyone understands everyone else well?

1 2 3 4 5 6 7

There’s full There’s no

understanding understanding

among all among family

members members

2. When you have to get things done which depend on cooperation among all members of the family, your feeling is:

1 2 3 4 5 6 7

There’s almost Things will

no chance that always get done

things will get

done

3. Do you have the feeling that it's always possible, in your family, to get help one from another when a problem arises?

1 2 3 4 5 6 7

You can always You can’t get help

get help from from family members

family members

4. Let's assume that unexpected guests are about to arrive and the house isn't set up to receive them. Does it seem to you that:

1 2 3 4 5 6 7

The job will All members of

fall on one the family will

person pitch in to get the

house ready

5. In case an important decision has to be taken which concerns the whole family, do you have the feeling that:

1 2 3 4 5 6 7

A decision The decision that

will always be will be taken

taken that’s for won’t be for the

the good of all good of all family

family members members

6. Family life seems to you:

1 2 3 4 5 6 7

Full of interest Totally routine

7. Does it happen that someone in the family feels as if it isn't clear to him/her what his/her jobs are in the house?

1 2 3 4 5 6 7

This feeling This feeling exists

exists all the very rarely

time

8. When a problem comes up in the family (like: unusual behavior of a family member, an unexpected over draft in the bank account, being fired from work, unusual tension), do you think that you can together clarify how it happened?

1 2 3 4 5 6 7

Very little chance To a great extent

9. Many people, even those with a strong character, sometimes like sad sacks (losers).In the past, has there been a feeling like this in your family?

1 2 3 4 5 6 7

There’s never This feeling

been a feeling always exists

like this in the

family

10. Think of a situation in which your family moved to a new house. Does it seem to you that:

1 2 3 4 5 6 7

All family It would be very

members would hard for family

be able to adjust members to adjust

easily to the new to the new situation

situation

11. Let's assume that your family has been annoyed by something in your neighborhood. Does it seemt o

you that:

1 2 3 4 5 6 7

Nothing can be It’s possible to do

done to prevent a great deal to

the annoyance prevent the

annoyance

12. Until now your family life has had :

1 2 3 4 5 6 7

No clear goals Very clear goals

or purpose at all and purpose

13. When you think about your family life, you very often

1 2 3 4 5 6 7

Feel how good Ask yourself why

it is to be alive the family exists

14. Let's say you're tired, disappointed, angry, or the like. Does it seem to you that all the members the of family will sense your feelings?

1 2 3 4 5 6 7

No one will sense All the family

my feelings members will

sense my feelings

15. Do you sometimes feel that there's no clear and sure knowledge of what's going to happen in the family?

1 2 3 4 5 6 7

There’s no There’s always

such feeling a feeling like this

at all

16. When the family faces a tough problem, the feeling is

1 2 3 4 5 6 7

There’s no hope We’ll overcome

of overcoming it all

the difficulties

17. To succeed in things that are important the family or to one of you

1 2 3 4 5 6 7

Isn’t important Is a very important

to the family thing to all family

members

18. To what extent does it seem to you that family rules are clear?

1 2 3 4 5 6 7

The rules in the The rules aren’t

family are clear at all

completely clear

19. When something very difficult happened in your family (like a critical illness of a family member), the feeling was

1 2 3 4 5 6 7

There’s no point This is a challenge

in going on living to go on living in the

in the family family despite

everything

20. When you think of possible difficulties in important areas of family life, is the feeling

1 2 3 4 5 6 7

There are many It’s possible in

problems which every case to find

have no solution a solution

21. Think of your feeling about the extent of planning money matters in your family

1 2 3 4 5 6 7

There’s full There’s no planning

planning of about money matters

money matters at all in the family

22. When you're in the midst of a rough period, does the family

1 2 3 4 5 6 7

Always feel Feel disappointed

cheered up by the and despairing

thought about about life

better things that

can happen

23. Does it happen that you feel that there's really not much meaning in maintaining the family

framework?

1 2 3 4 5 6 7

We always We’ve never had a

have this feeling feeling like this in

our family

24. Think of your feeling about the extent of order in your home. Is the case that

1 2 3 4 5 6 7

The house is The house isn’t

well-ordered ordered at all

25. Let's assume that your family is the target of criticism in the neighborhood. Does it seem to you that your reactions will be

1 2 3 4 5 6 7

The whole Family members will

family will join move apart from each

together against other

the criticism

26. To what extent do family members share sad experiences with each other?

1 2 3 4 5 6 7

There’s complete We don’t share our

sharing with all sad experiences with

family members family members


Test #4

Please place the appropriate numbered response next to each statement as it applies to your own life.

Strongly Disagree Neither Agree Strongly

Disagree Agree

1 2 3 4 5

1.___ I talk a lot when I am with my friends and/or family.

2.___ If I am in a situation where I do not know many people, I usually won’t initiate conversation with someone I don’t know.

3.___ I make friends everywhere I go.

4.___ I go out even if my friends don’t go with me.

5.___ When I am home for dinner with my family, I am always the one initiating conversation.

6.___ I feel like I can totally be myself around strangers because I might not see them again.

7.___ It takes me a long time to warm up to strangers.

8.___ When I go out with friends, I am the one who get’s everyone dancing and/or having fun.

9.___ I don’t life meeting new people.

10.___ My friends and family make me comfortable in social situations.

11.___ I never go anywhere without my friends.

12.___ I say little when with people I do not know.

13.___ I tend to make a good impression after meeting someone new.

14.___ I find that I have a hard time having a conversation with someone whom I just met.


Test #5

Please choose the number for each statement to indicate the extent to which you agree or disagree with the statement.

Strongly Disagree Neither Agree Strongly

Disagree Agree

1 2 3 4 5

15.____I am considerate of others’ thoughts and emotions.

16.____I have a set work style that I always use, no matter the situation.

17.____I adapt my behavior to the individual(s) with whom I am interacting.

18.____I take full responsibility for my failures.

19.____I remain calm in high stress situations.

20.____I work well with others.

21.____I prefer to work alone.

22.____It is ok to take advantage of others to get what I want.

23.____I am not good at anything.

24.____I am a special individual.

25.____I deserve respect.

26.____I am highly accomplished.

27.____I do not like following other people’s orders.

28.____I can live my life as I please.


Test #6

29. If a friend of mine is torn between two decisions, I will often suggest one that will lead to a worse outcome

1 2 3 4 5

Completely Completely

Disagree Agree

30. In an argument, I have no problem with being the one to escalate the issue into a physical confrontation.

1 2 3 4 5

Completely Completely

Disagree Agree

31. If I hear a negative rumor about someone I don’t like, I will more than likely pass the rumor on to another person.

1 2 3 4 5

Completely Completely

Disagree Agree

32. In an argument with a close friend, I often make comments that I know will upset them the most but are irrelevant to the argument.

1 2 3 4 5

Completely Completely

Disagree Agree

33. I believe that sometimes physical aggression is an inevitable part of an argument.

1 2 3 4 5

Completely Completely

Disagree Agree

34. Sometimes I take a small amount of pleasure in another’s misfortune

.

1 2 3 4 5

Completely Completely

Disagree Agree

35. I would be willing to befriend a very popular individual solely to increase my popularity through them.

1 2 3 4 5

Completely Completely

Disagree Agree

36. I find it easier to say something negative about someone than to say something nice.

1 2 3 4 5

Completely Completely

Disagree Agree

37. I often upset people with my sense of humor.

1 2 3 4 5

Completely Completely

Disagree Agree

38. I find it easier to just ignore a person I have a problem with than to confront them about it.

1 2 3 4 5

Completely Completely

Disagree Agree

39. In a heated argument, I often have to restrain myself from hitting the other person.

1 2 3 4 5

Completely Completely

Disagree Agree

40. In a fight between two friends, I will play both sides so that I may get the best of the situation.

1 2 3 4 5

Completely Completely

Disagree Agree

41. I have singled out a person outside of my social group and made fun of them on more than one occasion.

1 2 3 4 5

Completely Completely

Disagree Agree

42. To get back at someone, I think it is better to attack their reputation than confront them directly.

1 2 3 4 5

Completely Completely

Disagree Agree

43. I’d rather just take someone else’s side in an argument than let an argument end in disagreement.

1 2 3 4 5

Completely Completely

Disagree Agree


Test #7

Please choose the number for each statement to indicate the extent to which you agree or disagree with the statement.

Please use the scale below to indicate the extent to which you agree or disagree with each statement.