How to do the Questionnaire
Please state your position with respect to the Negative Views on the left and the Positive Views on the right do this by clicking on the button that you feel is where you stand: a clear Negative, a tendency toward Negative,
a tendency toward Positive, or a clear Positive.
When you click on the Score button, you will see that your scores are automatically added up below (provided
you have JavaScript and cookies switched on for your browser) giving you an overall score for this first
Profile, Self-Image. You will also see a personal analysis of your scores. The final page of the Questionnaire
will also indicate your cumulative score for all six Profiles.
Please answer all of the questions.
1. This is your Self Image Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I am not satisfied with my
general behavior
☐☐☐☐☐☐☐☐
I am satisfied with my general
behavior
I feel I am not reaching my
potential
☐☐☐☐☐☐☐☐
I feel I am reaching my
potential
My family is not happy with me
☐☐☐☐☐☐☐☐
My family is happy with me
I do not get on well with other
people
☐☐☐☐☐☐☐☐
I get on well with other people
I am not doing things I really
want to
☐☐☐☐☐☐☐☐
I am doing things I really want
to
I am limited by a poor selfimage
☐☐☐☐☐☐☐☐
I am helped by a good selfimage
I am not self-confident
☐☐☐☐☐☐☐☐
I am self-confident
I feel that my general behavior
is not well balanced
☐☐☐☐☐☐☐☐
I feel that my general behavior
is well balanced
I do not think of myself as a
positive person
☐☐☐☐☐☐☐☐
I think of myself as a positive
person
I do not consider myself to be
a responsible person
☐☐☐☐☐☐☐☐
I consider myself to be a
responsible person
I do not fully
understand/accept/respect
myself
☐☐☐☐☐☐☐☐
I fully
understand/accept/respect
myself
I do not have an attractive
personality
☐☐☐☐☐☐☐☐
I have a very attractive
personality
0
Your Score: ______
0,00 %
Your Score (Percent): ______
Self Awareness Questionnaire - Part 2
2. This is your Self Control Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I am easily defeated
☐☐☐☐☐☐☐☐
I am not easily defeated
I do not accept responsibility
easily
☐☐☐☐☐☐☐☐
I accept responsibility easily
I never respect a confidence
☐☐☐☐☐☐☐☐
I always respect a confidence
I am not aware that I control
what enters my brain
☐☐☐☐☐☐☐☐
I am aware that I control what
enters my brain
I do not know how to build
mental defenses
☐☐☐☐☐☐☐☐
I know I can build mental
defenses
I always yield to temptation
☐☐☐☐☐☐☐☐
I never yield to temptation
I often get bad tempered or
lose self control
☐☐☐☐☐☐☐☐
I am never bad tempered or
lose self control
I flare up get angry and sulk
☐☐☐☐☐☐☐☐
I do not flare up get angry and
sulk
I speak unkindly about people
☐☐☐☐☐☐☐☐
I do not speak unkindly about
people
Often, I am not calm under all
circumstances
☐☐☐☐☐☐☐☐
I am generally calm under all
circumstances, even stressful
ones
Usually, I would rather not face
up to the facts
☐☐☐☐☐☐☐☐
Usually, I believe in facing
facts
I often put off doing things
☐☐☐☐☐☐☐☐
I never put off doing things
0
Your Score: ______
0,00 %
Your Score (Percent): ______
Self Awareness Questionnaire - Part 3
3. This is your Creativity Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I do not use imagination in my
ordinary work
☐☐☐☐☐☐☐☐
I use imagination in my
ordinary work
I do not consider myself to be
creative
☐☐☐☐☐☐☐☐
I consider myself to be
creative
I never act on intuition
☐☐☐☐☐☐☐☐
I act on intuition
I seldom create new ideas and
things
☐☐☐☐☐☐☐☐
I want to create new ideas and
things
I never visualise my successes
in advance
☐☐☐☐☐☐☐☐
I visualise my successes in
advance
I never picture every particular
thing I have to do
☐☐☐☐☐☐☐☐
I picture every particular thing I
have to do
I never find that solutions to
problems appear to come from
nowhere.
☐☐☐☐☐☐☐☐
I often find that solutions to
problems appear to come from
nowhere.
I do not feel there is a special
purpose in life for me
☐☐☐☐☐☐☐☐
I feel there is a special
purpose in life for me
I do not feel that I am
spiritually directed/protected
☐☐☐☐☐☐☐☐
I feel I am spiritually
directed/protected
I never receive solutions to my
problems through dreams
☐☐☐☐☐☐☐☐
I often receive solutions to my
problems through dreams.
I never make jokes or play with
"crazy" ideas when solving
serious problems
☐☐☐☐☐☐☐☐
I often make jokes, or play with
"crazy" ideas when seeking
solutions even to serious
problems.
I prefer the conventional, and
never seek new ideas.
☐☐☐☐☐☐☐☐
I actively seek new ideas.
0
Your Score: ______
0,00 %
Your Score (Percent): ______
Self Awareness Questionnaire - Part 4
4. This is your Cooperation Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I am often abrupt when dealing
with others
☐☐☐☐☐☐☐☐
I am never abrupt when
dealing with others
It is not easy for me to forgive
☐☐☐☐☐☐☐☐
It is easy for me to forgive
I do not trust people
☐☐☐☐☐☐☐☐
I trust people
I do not make every effort to
see good in others
☐☐☐☐☐☐☐☐
I make every effort to see
good in others
I am not naturally cooperative
☐☐☐☐☐☐☐☐
I am very cooperative
I am not completely loyal to
every purpose I undertake
☐☐☐☐☐☐☐☐
I am completely loyal to every
purpose I undertake
I seldom experience quality in
human relations
☐☐☐☐☐☐☐☐
I believe in quality in human
relations
I always reject other people's
ideas out of hand
(immediately, without
consideration) just because
they aren't my ideas.
☐☐☐☐☐☐☐☐
I do not like working with
others on common tasks
☐☐☐☐☐☐☐☐
I believe in working with others
on common tasks
I am not concerned about
anyone but myself.
☐☐☐☐☐☐☐☐
I support what I believe is
good for everyone
I feel I am an isolated person
☐☐☐☐☐☐☐☐
I do not feel I am an isolated
person
I always build communication
barriers in my work
☐☐☐☐☐☐☐☐
I never build communication
barriers in my work
0
Your Score: ______
I never reject other people's
ideas out of hand
(immediately, without
consideration).
Your Score (Percent): ______
0,00 %
Self Awareness Questionnaire - Part 5
5. This is your Planning Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I do not plan my life
☐☐☐☐☐☐☐☐
I plan my life
I never check the feasibility of
everything I attempt
☐☐☐☐☐☐☐☐
I always check the feasibility of
everything I attempt
I never think ahead and
confirm my actions are right
☐☐☐☐☐☐☐☐
I always think ahead and
confirm my actions are right
I seldom finish what I start
☐☐☐☐☐☐☐☐
I always finish what I start
I find it hard to plan my work
☐☐☐☐☐☐☐☐
I do not find it hard to plan my
work
I have not fully planned my life
☐☐☐☐☐☐☐☐
I have fully planned my life
I do not plan the rewards I
want from my efforts
☐☐☐☐☐☐☐☐
I plan the rewards I want from
my efforts
I never plan anything. I always
ad-lib (improvise)
☐☐☐☐☐☐☐☐
I nearly always plan, and
rarely improvise
I have not planned a personal
contribution to society
☐☐☐☐☐☐☐☐
I have planned a personal
contribution to society
I never assure that my goals
are measurable
☐☐☐☐☐☐☐☐
I always assure that my goals
are measurable
I never visualize my goals
☐☐☐☐☐☐☐☐
I always visualize my goals
I never create a timetable for
my goals
☐☐☐☐☐☐☐☐
I always create a timetable for
my goals
0
Your Score: ______
0,00 %
Your Score (Percent): ______
Self Awareness Questionnaire - Part 6
6. This is your Concentration Questionnaire
NEGATIVE VIEW
1
2
3
4
5
6
7
8
POSITIVE VIEW
I have very low powers of
concentration
☐☐☐☐☐☐☐☐
I have excellent powers of
concentration
I do not know how to
contemplate
☐☐☐☐☐☐☐☐
I know how to contemplate,
and do so regularly
I do not have the will power to
achieve all I desire
☐☐☐☐☐☐☐☐
I have the will power to
achieve all I desire
I seldom seek progress in my
life
☐☐☐☐☐☐☐☐
I always seek progress in my
life
I see the negative in
everything
☐☐☐☐☐☐☐☐
I try to be constructive in
everything
I have little self-discipline
☐☐☐☐☐☐☐☐
I have a sense of selfdiscipline
I am not in control of my life
☐☐☐☐☐☐☐☐
I bring all I am engaged on
under personal control
I have no clear sense of
direction in my life
☐☐☐☐☐☐☐☐
I have a clear sense of
direction in my life
I am easily distracted
☐☐☐☐☐☐☐☐
I am not easily distracted
I cannot get into reading or
studying
☐☐☐☐☐☐☐☐
I can easily get absorbed in a
book or in study
I easily get bored with anything
requiring mental effort
☐☐☐☐☐☐☐☐
I do not easily get bored with
anything which requires
mental effort
I am usually bothered by
distracting thoughts
☐☐☐☐☐☐☐☐
I am not normally bothered by
distracting thoughts
0
Your Score: ______
0,00 %
Your Score (Percent): ______
0
Grand Total: ______
0,00 %
Gand Total (Percent): _______
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