Web Survey

The Self-Awareness Inventory

The Self-Awareness questionnaire is very short and consists of two parts, one you will complete now and the second is to be completed after finishing the assigned readings. PLEASE make sure you selected whether this is the first or second time you completed this questionaire - see above. The questions are the same for both parts though your responses may vary after your readings. The scores will be posted after you complete each section - you will ned to write them down for future use.

This questionnaire includes a series of phrases that describe people's sense of self-awareness. Please use the rating scale below to describe how accurately each statement describes you. Describe yourself as you generally are now, not as you wish to be in the future. Describe yourself as you Honestly see yourself. Your responses will be kept in absolute confidence.

Please read each statement carefully, and then choose the response that corresponds to how you think the statement describes you using the following scale.

1 = Strongly Disagree
2 = Disagree
3 = Slightly Disagree
4 = Slightly Agree
5 = Agree
6 = Strongly Agree

Self-Awareness Inventory


Your Identification
Please supply the information requested below. Your school ID number and other data will be used to correlate data between surveys, etc. All information is strictly confidential and your ID will not be used for any other purpose.



*Q1.		Please type in your course name and section, e.g., MGT-612ST



*Q2.		Type in the LAST four (4) digits of your school ID number, no spaces, no dashes, etc.



Q3.		Type in your e-mail address in case it is necessary to contact you. For example, to give feedback or scores.

Q4.

Ethnicity
(Optional Question)

	African American, Black
	Native American, Alaskan Native
	Asian American
	Asian, & Indian Subcontinent
	Hispanic, Latino
	Mexican American, Chicano

	Native Hawaiian, Pacific Islander
	Puerto Rican
	White, Caucasian
	Other
	Not Answered

Q5.

What School are you attending?

	Stevens Institute of Technology
	NYU

	Pace University
	Columbia

Q6.

What degree are you earning?

	BA/BS
	MA/MS

	Executive Masters
	Doctorate

	Certificate
	Auditing

Q7.

How far are you towards your degree?

	Up to 25%
	Up to 50%

	Up to 75%
	Finishing up !

Q9.

Gender?

Female

Male

*Q10.

Is this the FIRST or SECOND time you are completing this questionaire?

First

Second

		Strongly Disagree	Disagree	Slightly Disagree	Slightly Agree	Agree	Strongly Agree

*1.	I seek information about my strengths and weaknesses from others as a basis for self-improvement.

*2.	When I receive negative feedback about myself from others, I do not get angry or defensive.

*3.	In order to improve, I am willing to be self-disclosing to others (that is, to share my beliefs and feelings).

*4.	I am very much aware of my personal style of gathering information and making decisions.

*5.	I am very much aware of my own interpersonal needs when it comes to forming relationships with other people.

*6.	I have a good sense of how I cope with situations that are ambiguous and uncertain.

*7.	I have a well-developed set of personal standards and principles that guide my behavior.

*8.	I feel very much in charge of what happens to me, good and bad.

*9.	I seldom, if ever, feel angry, depressed, or anxious without knowing why.

*10.	I am conscious of the areas in which conflict and friction most frequently arise in my interactions with others.

*11.	I have a close personal relationship with at least one other person with whom I can share personal information and personal feelings.