Self Awareness Survey

Below is a series of paired statements. Choose the one which you feel most relates to you. When choosing an answer, think about your relationships and interactions in your work, volunteer work, and student activities organizations.
Name: 


A red asterisk (*) indicates required questions.

  1. Please choose one statement. *
    I appreciate it when someone gives me their undivided attention.
    I appreciate it when others assist me with jobs or projects.


  1. Please choose one statement. *
    When someone buys lunch for me, it communicates to me that I am important to them.
    Being told “thanks” for the work I do is really important to me.


  1. Please choose one statement. *
    I am energized when those around me help me out with the tasks that need to be done.
    It motivates me when others praise me verbally.


  1. Please choose one statement. *
    When I am having a difficult day, it means a lot to me if someone helps me with a project I am working on.
    When I am having a difficult day, it means a lot to me when someone close to me stops by to see how I am doing.


  1. Please choose one statement. *
    Receiving tangible gifts (food, gift cards) cheers me up.
    When others help me get tasks done at work, it cheers me up.


  1. Please choose one statement. *
    I am more likely to persevere through a difficult task when someone thanks me for the work I am doing.
    When others show a genuine interest and listen to me, it helps me persevere through a difficult task.


  1. Please choose one statement. *
    I feel valued when people take time to listen to my concerns patiently, without interrupting.
    I feel valued when people close to me celebrate a special day or event by getting me a gift.


  1. Please choose one statement. *
    I receive an emotional lift when I receive a gift from a friend or colleague.
    I feel supported when those who work close to me help me out when I am overloaded with work.


  1. Please choose one statement. *
    When I am feeling stressed, words of encouragement help me feel better.
    When I am stressed, having others help me get things done can reduce my stress level.


  1. Please choose one statement. *
    Being able to hang out with friends and colleagues means a lot to me.
    Being complimented for the work I do means a lot to me.


  1. Please choose one statement. *
    If I am discouraged, someone offering to do a small favor for me will lift my spirits.
    If I am discouraged, a small gift (humorous card, dessert) can lift my spirits.


  1. Please choose one statement. *
    It really cheers me up when someone praises me for a job well done.
    When someone enthusiastically does a task I have requested, it cheers up my day.


  1. Please choose one statement.
    I am energized when I receive verbal encouragement from others.
    When I get to spend time with people who are important to me, I am energized.





Vondra Brown
WELLCOME MIDDLE SCHOOL
NC