Peer Perception Survey
PEER PERCEPTION SURVEY
Rationale: You often give people a certain perception of yourself without intending to do so or
even knowing about it. The intention of this survey is to help provide insight on how others
perceive you. Thus, if you are giving others an unintended impression, you have the opportunity
to change your behavior. This is a powerful tool and the first step in ensuring that you are
communicating in the manner intended.
Instructions: Write your name in the first blank of the following survey and then distribute it to
three to seven people whose opinion you value and in whom you trust. They may be friends or
acquaintances; the most important thing is that they are people who provide you with honest
opinions. Their names need not be included on the survey form.
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Peer Perception Survey
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Peer Perception Survey
Instructions: _________________ has asked you to fill out this survey to help him or her better
understand how he or she is perceived by others. Please answer the following questions
regarding your perception of him or her. Answer as to what particular observed behavior has led
you to form such impressions. Honest responses are the most helpful, and there is no need to
include your name on this form. Thank you for your time.
1.
I perceive him or her to be ___________.
a. self-confident
b. insecure
Based on what observed behavior?
2.
I perceive him or her to be ___________.
a. positive
b. negative
Based on what observed behavior?
3.
I perceive him or her to ___________ most other people.
a. like
b. dislike
Based on what observed behavior?
Peer Perception Survey
4.
I perceive him or her to be ___________.
a. friendly
b. unfriendly
Based on what observed behavior?
5.
I perceive him or her to be ___________.
a. open
b. closed
Based on what observed behavior?
6.
I perceive him or her to be ___________.
a. helpful
b. unhelpful
Based on what observed behavior?
7.
I perceive him or her to be ___________.
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Peer Perception Survey
a. happy
b. unhappy
Based on what observed behavior?
8.
I perceive him or her to be ___________.
a. reliable
b. unreliable
Based on what observed behavior?
9.
I perceive him or her to be ___________.
a. professional
b. unprofessional
Based on what observed behavior?
10. I perceive him or her to be ___________.
a. honest
b. dishonest
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Peer Perception Survey
Based on what observed behavior?
11. I perceive him or her to be ___________.
a. organized
b. disorganized
Based on what observed behavior?
12. I perceive him or her to be ___________.
a. proactive
b. reactive
Based on what observed behavior?
13. I perceive him or her to be ___________.
a. interesting
b. boring
Based on what observed behavior?
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Peer Perception Survey
14. I perceive him or her to be ___________.
a. intelligent
b. dull
Based on what observed behavior?
15. I perceive him or her to be ___________.
a. energetic
b. lazy
Based on what observed behavior?
16. I perceive him or her to be ___________.
a. solution-seeking
b. problem-oriented
Based on what observed behavior?
17. I perceive him or her to be ___________.
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Peer Perception Survey
a. popular
b. unpopular
Based on what observed behavior?
18. I perceive him or her to be ___________.
a. open to change
b. resistant to change
Based on what observed behavior?
19. I perceive him or her to be ___________.
a. trusted
b. distrusted
Based on what observed behavior?
20. I perceive him or her to be ___________.
a. independent
b. dependent
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Peer Perception Survey
Based on what observed behavior?
21. I perceive him or her to be ___________.
a. genuine
b. superficial
Based on what observed behavior?
22. I perceive him or her to have ___________.
a. common sense
b. a lack of common sense
Based on what observed behavior?
23. I perceive him or her to be ___________.
a. believable
b. unbelievable
Based on what observed behavior?
24. I perceive him or her to be ___________.
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Peer Perception Survey
a. successful
b. unsuccessful
Based on what observed behavior?
25. I perceive him or her to be ___________.
a. progressive
b. stagnant
Based on what observed behavior?
26. I perceive him or her to be ___________.
a. interested
b. disinterested
Based on what observed behavior?
27. I perceive him or her to be ___________.
a. prejudiced
b. accepting
Based on what observed behavior?
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Peer Perception Survey
28. I perceive him or her to show ___________.
a. promise
b. complacency
Based on what observed behavior?
29. I perceive him or her to be ___________.
a. a procrastinator
b. diligent
Based on what observed behavior?
30. I perceive him or her to be ___________.
a. shy
b. outgoing
Based on what observable behavior?
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