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Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness
Name
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First Name
Last Name
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example@example.com
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Rate the following items in terms of how much the item is a guiding principle of your life.
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Rows
-1 (Opposed to my values)
0 (Not important)
1
2
3 (Important)
4
5
6 (Very Important)
7 (Of Supreme Importance)
EQUALITY (equal opportunity for all)
INNER HARMONY (at peace with myself)
SOCIAL POWER (control over others, dominance)
PLEASURE (gratification of desires)
FREEDOM (freedom of action and thought)
A SPIRITUAL LIFE (emphasis on spiritual not material matters)
SENSE OF BELONGING (feeling that others care about me)
SOCIAL ORDER (stability of society)
AN EXCITING LIFE (stimulating experiences)
MEANING IN LIFE (a purpose in life)
POLITENESS (courtesy, good manners)
WEALTH (material possessions, money)
NATIONAL SECURITY (protection of my nation from enemies)
SELF-RESPECT (belief in one’s own worth)
RECIPROCATION OF FAVORS (avoidance of indebtedness)
CREATIVITY (uniqueness, imagination)
A WORLD AT PEACE (free of war and conflict)
RESPECT FOR TRADITION (preservation of time-honored customs)
MATURE LOVE (deep emotional and spiritual intimacy)
SELF-DISCIPLINE (self-restraint, resistance to temptation)
DETACHMENT (from worldly concerns)
FAMILY SECURITY (safety for loved ones)
SOCIAL RECOGNITION (respect, approval by others)
UNITY WITH NATURE (fitting into nature)
A VARIED LIFE (filled with challenge, novelty, and change)
WISDOM (a mature understanding of life)
AUTHORITY (the right to lead or command)
TRUE FRIENDSHIP (close, supportive friends)
A WORLD OF BEAUTY (beauty of nature and the arts)
SOCIAL JUSTICE (correcting injustice, care for the weak)
INDEPENDENT (self-reliant, self-sufficient)
MODERATE (avoiding extremes of feeling and action)
LOYAL (faithful to my friends, group)
AMBITIOUS (hardworking, aspiring)
BROAD-MINDED (tolerant of different ideas and beliefs)
HUMBLE (modest, self-effacing)
DARING (seeking adventure, risk)
PROTECTING THE ENVIRONMENT (preserving nature)
INFLUENTIAL (having an impact on people and events)
HONORING OF PARENTS AND ELDERS (showing respect)
CHOOSING OWN GOALS (selecting own purposes)
HEALTHY (not being sick physically or mentally)
CAPABLE (competent, effective, efficient)
ACCEPTING MY PORTION IN LIFE (submitting to life’s circumstances)
HONEST (genuine, sincere)
PRESERVING MY PUBLIC IMAGE (protecting my “face”)
OBEDIENT (dutiful, meeting obligations)
INTELLIGENT (logical, thinking)
HELPFUL (working for the welfare of others)
ENJOYING LIFE (enjoying food, sex, leisure, etc.)
DEVOUT (holding to religious faith and belief)
RESPONSIBLE (dependable, reliable)
CURIOUS (interested in everything, exploring)
FORGIVING (willing to pardon others)
SUCCESSFUL (achieving goals)
CLEAN (neat, tidy)
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