| | | Positively Yes | Mostly Yes | Undecided | Mostly No | Positively No |
| 1. | Do you make new friends easily? | 5 | 4 | 3 | 2 | 1 |
| 2. | Do you try not to be a "complainer?" | 5 | 4 | 3 | 2 | 1 |
| 3. | Are you careful never to interrupt when another person is speaking? | 5 | 4 | 3 | 2 | 1 |
| 4. | Can you be optimistic when others around you are depressed? | 5 | 4 | 3 | 2 | 1 |
| 5. | Do you keep from boasting or bragging? | 5 | 4 | 3 | 2 | 1 |
| 6. | Do you control your temper? | 5 | 4 | 3 | 2 | 1 |
| 7. | Are you genuinely interested in the other person's point of view? | 5 | 4 | 3 | 2 | 1 |
| 8. | Do you speak well of your employer? | 5 | 4 | 3 | 2 | 1 |
| 9. | Do you keep the same friends for years? | 5 | 4 | 3 | 2 | 1 |
| 10. | Do you feel well most of the time? | 5 | 4 | 3 | 2 | 1 |
| 11. | Do you use standard English? | 5 | 4 | 3 | 2 | 1 |
| 12. | Do you keep promises? | 5 | 4 | 3 | 2 | 1 |
| 13. | Are you at ease with the opposite sex? | 5 | 4 | 3 | 2 | 1 |
| 14. | Do you have good table manners? | 5 | 4 | 3 | 2 | 1 |
| 15. | Do you organize your work and keep up with it? | 5 | 4 | 3 | 2 | 1 |
| 16. | Do you get along well with family members? | 5 | 4 | 3 | 2 | 1 |
| 17. | Do you readily admit your mistakes? | 5 | 4 | 3 | 2 | 1 |
| 18. | Can you be a leader without being "bossy?" | 5 | 4 | 3 | 2 | 1 |
| 19. | Is it easy for your to like nearly everyone? | 5 | 4 | 3 | 2 | 1 |
| 20. | Can you stick to a tiresome task without being "prodded?" | 5 | 4 | 3 | 2 | 1 |
| 21. | Do you finish each task you begin? | 5 | 4 | 3 | 2 | 1 |
| 22. | Do you realize your weaknesses and attempt to correct them? | 5 | 4 | 3 | 2 | 1 |
| 23. | Can you take being teased? | 5 | 4 | 3 | 2 | 1 |
| 24. | Do you avoid feeling sorry for yourself? | 5 | 4 | 3 | 2 | 1 |
| 25. | Are you courteous to your fellow workers? | 5 | 4 | 3 | 2 | 1 |
| 26. | Are you usually well-groomed and neatly dressed? | 5 | 4 | 3 | 2 | 1 |
| 27. | Are you a good loser? | 5 | 4 | 3 | 2 | 1 |
| 28. | Do you enjoy a joke even when it is on you? | 5 | 4 | 3 | 2 | 1 |
| 29. | Do you like children? | 5 | 4 | 3 | 2 | 1 |
| 30. | Do you keep your own room in good order? | 5 | 4 | 3 | 2 | 1 |
| 31. | Are you aware of the rules of etiquette? | 5 | 4 | 3 | 2 | 1 |
| 32. | Do you refrain from (keep yourself from) giving excuses? | 5 | 4 | 3 | 2 | 1 |
| 33. | Are you tolerant of other people's beliefs? | 5 | 4 | 3 | 2 | 1 |
| 34. | Do you respect the opinions of older family members? | 5 | 4 | 3 | 2 | 1 |
| 35. | Do you introduce people easily and correctly? | 5 | 4 | 3 | 2 | 1 |
| 36. | Do you refrain from pouting when things go differently than you would like? | 5 | 4 | 3 | 2 | 1 |
| 37. | Are you a good listener? | 5 | 4 | 3 | 2 | 1 |
| 38. | Can you speak before a group without feeling self-conscious? | 5 | 4 | 3 | 2 | 1 |
| 39. | Do you like to attend parties? | 5 | 4 | 3 | 2 | 1 |
| 40. | Are you the kind of friend you expect others to be? | 5 | 4 | 3 | 2 | 1 |
| 41. | Do you accept compliments or gifts graciously? | 5 | 4 | 3 | 2 | 1 |
| 42. | Can you disagree without being disagreeable? | 5 | 4 | 3 | 2 | 1 |
| 43. | Do you like to give parties? | 5 | 4 | 3 | 2 | 1 |
| 44. | Are you "on time" for engagements? | 5 | 4 | 3 | 2 | 1 |
| 45. | Do you generally speak well of other people? | 5 | 4 | 3 | 2 | 1 |
| 46. | Can you take criticism without being resentful or feeling hurt? | 5 | 4 | 3 | 2 | 1 |
| 47. | Are you careful to pay back all loans, however small? | 5 | 4 | 3 | 2 | 1 |
| 48. | Are you always on time for your appointments? | 5 | 4 | 3 | 2 | 1 |
| 49. | Does your voice usually sound cheerful? | 5 | 4 | 3 | 2 | 1 |
| 50. | Can you work well with those you dislike? | 5 | 4 | 3 | 2 | 1 |
| 51. | Do you contribute to the conversation at the family dinner table? | 5 | 4 | 3 | 2 | 1 |
| 52. | Do you try as hard to get along well with your family as with friends? | 5 | 4 | 3 | 2 | 1 |
| 53. | Do you like people who are much older than you? | 5 | 4 | 3 | 2 | 1 |
| 54. | Are you pleasant to others even when you feel "out of sorts?" | 5 | 4 | 3 | 2 | 1 |
| 55. | Are you free from prejudices? | 5 | 4 | 3 | 2 | 1 |
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