Arno Profile System—Response Form for Adults



Arno Profile System—Response Form for Adults

This form replaces the FIRO-B. The responses are used to generate an APS (Arno Profile System) report, formerly known as a Temperament Analysis Profile.

Administrator’s Name:       Individual’s Name:      

Date: August 9, 2007[pic]August 9, 2007 Age:     Sex: Please provide a: Personnel Clinical Personal

Note: Do not analyze or debate over your response. To ensure accurate results, you must provide the first response that comes to your mind. This Questionnaire MUST only take you 8 to 10 minutes to complete.

The 54 questions contained herein are copyrighted by Care 4 America Inc.. They are reprinted by license agreement between CPP and the NCCA, SACC and Drs. Arno for the sole purpose of generating an APS report. Any other use is a violation of copyright laws and said license agreement.

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For each statement below, decide which of the following answers best apply to you. Place the number of the answer in the box at the left of the statement (click in the gray, or Tab). Please be as honest as you can.

1 = never 2 = rarely 3 = occasionally 4 = sometimes 5 = often 6 = usually

1. __ I try to be with people.

2. __ I let other people decide what to do.

3. __ I join social groups.

4. __ I try to have close relationships with people.

5. __ I tend to join social organizations when I have an opportunity.

6. __ I let other people strongly influence my actions.

7. __ I try to be included in informal social activities.

8. __I try to have close, personal relationships with people.

9. __ I try to include other people in my plans.

10. __ I let other people control my actions.

11. __ I try to have people around me.

12. __ I try to get close and personal with people.

13. __ When people are doing things together, I tend to join them.

14. __ I am easily led by people.

15. __ I try to avoid being alone.

16. __ I try to participate in group activities.

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For each of the next group of statements, choose one of the following answers:

|1 = nobody |2 = one or two people |3 = a few people |4 = some people |5 = many people |6 = most people |

17. __ I try to be friendly to people.

18. __ I let other people decide what to do.

19. __ My personal relations with people are cool and distant.

20. __ I let other people take charge of things.

21. __ I try to have close relationships with people.

22. __ I let other people strongly influence my actions.

23. __ I try to get close and personal with people.

24. __ I let other people control my actions.

25. __ I act cool and distant with people.

26. __ I am easily led by people.

27. __ I try to have close, personal relationships with people.

For each of the next group of statements, choose one of the following answers:

|1 = nobody |2 = one or two people |3 = a few people |4 = some people |5 = many people |6 = most people |

28. __ I like people to invite me to things.

29. __ I like people to act close and personal with me.

30. __ I try to influence strongly other people’s actions.

31. __ I like people to invite me to join in their activities.

32. __ I like people to act close toward me.

33. __ I try to take charge of things when I am with people.

34. __ I like people to include me in their activities.

35. __ I like people to act cool and distant toward me.

36. __ I try to have other people do things the way I want them done.

37. __ I like people to ask me to participate in their discussions.

38. __ I like people to act friendly toward me.

39. __ I like people to invite me to participate in their activities.

40. __ I like people to act distant toward me.

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For each of the next group of statements, choose one of the following answers:

1 = never 2 = rarely 3 = occasionally 4 = sometimes 5 = often 6 = usually

41. __ I try to be the dominant person when I am with people.

42. __ I like people to invite me to things.

43. __ I like people to act close toward me.

44. __ I try to have other people do things I want done.

45. __ I like people to invite me to join their activities.

46. __I like people to act cool and distant toward me.

47. __ I try to influence strongly other people’s actions.

48. __ I like people to include me in their activities.

49. __ I like people to act close and persona with me.

50. __ I try to take charge of things when I’m with people.

51. __ I like people to invite me to participate in their activities

52. __ I like people to act distant toward me.

53. __ I try to have other people do things the way I want them done.

54. __ I take charge of things when I’m with people

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For Faxing:

Print the data from a form in Word

1. On the Tools menu, click Options, and then click the Print tab.

2. Select the Print data only for forms check box, and then click OK.

3. Click Print.

4. FAX to the Fax Number provided. 1-866-531-1415

To Email:

1. On the File menu, click Send To and select Mail Recipient.

2. In your email program simply enter the address provided. This form will already be attached.

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