Please use this list of common human traits to describe ...
SURVEY OF PERSONALITY AND VALUES
TO BE COMPLETED BEFORE BEGINNING SURVEY
Please use the information provided on the informed consent form given to you
PERSONAL MATCHING ID: _______________ School/Location (e.g., FAU): __________________
Class ID number: _______________
YOU ARE BEING ASKED TO RATE THE PERSON WHO PROVIDED YOU WITH THE INFORMED CONSENT FORM ON THEIR PERSONALITY AND VALUES. WHEN COMPLETED PLEASE SAVE THE SUREY ON YOUR COMPUTER. ACCESS THE FREE EMAIL ACCOUNT THAT ALLOWS YOU TO ATTACH AND EMAIL THE SURVEY ANONYMOUSLY AT WWW. EMAIL ADDRESS: ELECTIONSURVEY@
PASSWORD: “ELECTION”. SEND TO EWILLIAM@FAU.EDU
Consent Statement:
□I have read or had read to me the preceding information describing this study. All my questions have been answered to my satisfaction. I am 18 years of age or older and freely consent to participate. I understand that I am free to withdraw from the study at any time. I have received a copy of the consent form.
Please use this list of common human traits to describe this person as accurately as possible. Describe how you see him/her at the present time. Describe him/her as they are generally or typically, as compared with other persons you know of the same sex and of roughly your same age. Before each trait, please write a number indicating how accurately that trait describes this person, using the following rating scale:
Inaccurate Neutral Accurate
Extremely Very Moderately Slightly Slightly Moderately Very Extremely
1 2 3 4 5 6 7 8 9
|____ Active |____ Distrustful |____ Innovative |____ Rude |____ Undemanding |
|____ Agreeable |____ Efficient |____ Insecure |____ Self-pitying |____ Undependable |
|____ Anxious |____ Emotional |____ Intellectual |____ Selfish |____ Unemotional |
|____ Artistic |____ Energetic |____ Introspective |____ Shallow |____ Unenvious |
|____ Assertive |____ Envious |____ Introverted |____ Shy |____ Unexcitable |
|____ Bashful |____ Extraverted |____ Irritable |____ Simple |____ Unimaginative |
|____ Bold |____ Fearful |____ Jealous |____ Sloppy |____ Uninquisitive |
|____ Bright |____ Fretful |____ Kind |____ Steady |____ Unintellectual |
|____ Careful |____ Generous |____ Moody |____ Sympathetic |____ Unintelligent |
|____ Careless |____ Haphazard |____ Neat |____ Systematic |____ Unkind |
|____ Cold |____ Harsh |____ Negligent |____ Talkative |____ Unreflective |
|____ Complex |____ Helpful |____ Nervous |____ Temperamental |____ Unrestrained |
|____ Conscientious |____ High-strung |____ Organized |____ Thorough |____ Unsophisticated |
|____ Considerate |____ Imaginative |____ Philosophical |____ Timid |____ Unsympathetic |
|____ Cooperative |____ Imperceptive |____ Pleasant |____ Touchy |____ Unsystematic |
|____ Creative |____ Imperturbable |____ Practical |____ Trustful |____ Untalkative |
|____ Daring |____ Impractical |____ Prompt |____ Unadventurous |____ Verbal |
|____ Deep |____ Inconsistent |____ Quiet |____ Uncharitable |____ Vigorous |
|____ Demanding |____ Inefficient |____ Relaxed |____ Uncooperative |____ Warm |
|____ Disorganized |____ Inhibited |____ Reserved |____ Uncreative |____ Withdrawn |
Please rate the individual on how important each of these is as a guiding principle in this person’s life.
Use the scale provided below.
1 2 3 4 5 6 7
Opposed Not Somewhat Neutral Somewhat Very Of Supreme
to their Values Important Unimportant Important Important Importance
____ 1. A world at peace, free of war and conflict.
____ 2. Social justice, correcting injustice, care for the weak.
____ 3. Equality, equal opportunity for all.
____ 4. Honoring parents and elders, showing respect.
____ 5. Family security, safety for loved ones.
____ 6. Self-discipline, self-restraint, resistance to temptation.
____ 7. A varied life, filled with challenge, novelty, and change.
____ 8. An exciting life, stimulating experiences.
____ 9. Curious, interested in everything, exploring.
____ 10. A sense of accomplishment, lasting contribution.
____ 11. Social recognition, respect, admiration.
____ 12. Self-respect, self-esteem.
____ 13. Freedom, independence, free choice.
____ 14. National security, protection from attack.
____ 15. Personal safety, hazard free environment.
My relationship to this person is (e.g. friend, relative, spouse, etc.): _____________________
My age is: ____________ years My gender is: ___ Male ____ Female
How long have you know this person? __________ Years ________ Months
Thank you for your help!
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