Self Awareness Questionnaire

Self Awareness Questionnaire
Thie purpose of this questionnaire is to assist students to determine their self awareness.

All answers are anonymous. Responses to the questions are on a scale of 1 to 5, with 1: Never, 3: Sometimes, 5: Always.
Communicating with adults is comfortable for me.

1

2

3

4

5

1 is Never, 5 is Always
Independently working without an adult needing to keep me focussed is easy for me.

1

2

3

4

5

1 is Never, 5 is Always
I am flexible on my plans if unexpected situations happen.

1

2

3

4

5

1 is Never, 5 is Always
I feel passionate about my interests/hobbies.

1

2

3

4

5

1 is Never, 5 is Always
I am ready to listen and consider the opinions of others.

1

2

3

4

5

1 is Never, 5 is Always
I can keep track of my things at school.

1

2

3

4

5

1 is Never, 5 is Always
I respect the personal space and belongings of other people.

1

2

3

4

5

1 is Never, 5 is Always
I can work in a group comfortably.

1

2

3

4

5

1 is Never, 5 is Always
Receiving & acting on feedback is easy for me.

1

2

3

4

5

1 is Never, 5 is Always
For the following questions,
- choose one answer which best describes your situation and
- click on the box next to that answer.
If none of the options fit in this self awareness test, please select N/A.
I am most comfortable being a

SpectatorActorDirectorN/A
My greatest fear is

Meaningless or unworthinessLoss or abandonmentMediocrity or being wrongN/A
I focus more on

Another person or groupHumanity as a wholeMyselfN/A
The areas more important to me are

Meaning, creative expression, purpose, service, attracting abundanceSurvival, control, security, the past, moneyUnderstanding, learning, the future, prosperous thinkingN/A
The areas more important to me are

Meaning, creative expression, purpose, service, attracting abundanceSurvival, control, security, the past, moneyUnderstanding, learning, the future, prosperous thinkingN/A
I often experience in my life

Chaos, emotional reactions, negative thinkingPro-activity, control, some synchronicityPurpose, rhythm, beauty, flowN/A
I regularly experience

Service and compassionChange and growthVictimhood, sadness or inertiaN/A
My awareness level is described as

Instinctual, follower, habitual, robotic, reactiveIntuitive, higher guidance, truth, love, universalAware, intelligent, metaphoric, conceptualN/A
My sense of myself is

Asking questions and seeking independenceDeveloping a stronger sense of my self confidence and egoDeveloping the heart, becoming spiritually aware and serving a higher goodN/A
I am searching for

Helping others, group work, service, healing, teaching, expressionHealth, energy, love, understanding, goodness, truth, beauty, growthMaterial goods, image and appearances pleasures, happiness, power, self-actualization, self-centerednessN/A
I describe my relationships as

IndependentCo-dependentInterdependentN/A
I describe my will power as

Group willGood will, God will, true powerWeak willed, forceful or self oriented willN/A
My thinking tends to be

Creative, imaginative, spontaneousHabitual, routine, limited, linearGuided, natural flowing, intuitiveN/A
I spend much time

Coping, survivingDeveloping skills, strengthening valuesBeing, allowingN/A
My story line might be

I am lifeI do lifeLife does meN/A
Please answer the following questions according to your thoughts.
What is the definition of self awareness?
What is the definition of professional ethics?
What are three of the golden rules of professional ethics?
What are the definition of values?
Name

First NameLast Name
Email
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Date

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Date
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