AM I THIS PERSON

Teacher School Signature Date

Below are indicators of personal qualities which may describe you. Place a mark on the blank before each item if the indicator fits you most of the time or a mark if the description does not fit your most of the time.
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30.

I am mentally alert. I make correct decisions. I give attention to details. I analyze every situation. I am quick to make solutions. I maintain poise. I remain undisturbed under pressure. I hold anger. I am calm in the midst of chaos. I maintain dignity in all circumstances. I am very imaginative. I create new things. I like to try out new things. I accept responsibility and do it well. I utilize to the maximum every material. I have happy disposition. I appreciate other people. I am tolerant of other persons. I am kind and sympathetic. I help voluntarily. I adjust to different situations. I look at the brighter side of life. I enjoy the company of others. I laugh at my own mistakes. I can adjust to any group as a member. I think that my suggestions are not always correct. I do not consider myself as better than others. I treat everybody fairly. I see others opinion as different from mine. I give equal chance for everybody to be heard.

31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60.

I work beyond the objectives. I do things without being told. I do not give up easily on task. I set high goals for oneself. I work with a sense of urgency. I feel sure of what I do. I work for others. I initiate to do the job for all. I assume responsibility with confidence. I work to succeed. I am pleasant in action, words and appearance. I am clean and neat as a person. I dress up appropriately. I am simple, beautiful/handsome. I am appealing to others. I treat everybody with courtesy. I behave appropriately in occasions. I select social functions to attend. I use appropriate language. I adjust comfortably in a crowd. I have deep concern for others. I am always willing to share. I volunteer to do task for others. I give up personal time for the group. I work for the group even without assurance in return. I am fair in giving judgment. I am consistent in words and actions. I am punctual in attendance. I am sincere in giving suggestions. I extend help to many others.

Number of checks in each cluster (Min-1 to Max-5) Personal Attributes 1. Intelligence Cluster of Items 1-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 Number of Check Marks Interpretation

2. Emotional Stability 3. Resourcefulness 4. 5. 6. 7. 8. 9. Compassion Bouyancy Objectiveness Self-motivation Self-confidence Pleasantness

10. Refinement 11. Cooperativeness 12. Reliability

Legend Interpretation: 5-Very High; 4-High; 3-Avergae; 2-Low; 1-Very Low