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INSTRUCTIONS

  1. This is not a test, so there are no right or wrong answers.
  1. In order for this study to be helpful, it is important that you answer each question as thoughtfully and honestly as possible.
  1. All of the questions should be answered by placing an “X” in the box that is next to the answer you want. If you don’t always find an answer that fits exactly, use the one that comes closest.
  1. Please try to answer every question. If you decide not to answer a question, you may leave it blank.
  1. Some of the questions will look like this -

Example:

 

YES!

yes

no

NO!


I like to go swimming

c

c

c

c

Please put an “X” in the box under the word that best describes how you feel about that sentence.

Mark (the big) YES! If you think the statement is definitely true for you.
Mark (the little) yes if you think the statement is mostly true for you.
Mark (the little) no if you think the statement is mostly not true for you.
Mark (the big) NO! if you think the statement is definitely not true for you.

If you have any questions at any time, please raise your hand.

You may now turn to the next page and begin.