| Self-Analysis Assgn. Survey REPORT FORM (4th person optional for 5 bonus points). Student:B write YOUR answers in column 1. |
| 1) Person 1 (you): |
| 2) Person 2: Relationship: |
| 3) Person 3: Relationship: |
| 4) Person 4: Relationship: |
| | Description: | | Rarely | | | | | Sometimes | | | | | 1/2 the Time | | | | | Generally | | | | | Almost Always |
| | | | 1 | 2 | 3 | 4 | | 1 | 2 | 3 | 4 | | 1 | 2 | 3 | 4 | | 1 | 2 | 3 | 4 | | 1 | 2 | 3 | 4 |
| 1 | Accepts Criticism Well |
| 2 | Aggressive |
| 3 | Ambitious |
| 4 | Anxious/Tense |
| 5 | Cooperative |
| 6 | Courageous |
| 7 | Easy to Get to Know |
| 8 | Energetic |
| 9 | Friendly/Good Natured |
| 10 | Shows a Sense of Humor |
| 11 | Honest |
| 12 | Imaginative |
| 13 | Intelligent |
| 14 | Irritable |
| 15 | Jealous |
| 16 | Kind |
| 17 | Is a Leader |
| 18 | Mature |
| 19 | Moody |
| 20 | Open-Minded |
| 21 | Patient |
| 22 | Persuasive |
| 23 | Predictable |
| 24 | Prejudiced |
| 25 | Quiet |
| 26 | Religious |
| 27 | Responsible |
| 28 | Self-Confident |
| 29 | Selfish |
| 30 | Serious |
| 31 | Stubborn |
| 32 | Tactful |
| 33 | Trusting of Others |
| 34 | Understanding |
| 35 | Well-Adjusted |