Adult APS Form | Dr. MAMA| Family Life Educator

Name

First

Last

Date / Time

Date

Time

Gender

Age

Selected Value: 0

Do not analyze or debate over your responses. To ensure accurate results, you must provide the first response that comes to your mind. This questionnaire MUST only take you 8 to 10 minutes to complete. Please choose the best response that represents you.

Question 1: I make an effort not to be by myself

Question 2: I am easily guided by others

Question 3: When I make plans, I make an effort to include others

Question 4: I seek to get close and personal with others

Question 5: I make an effort to be around others

Question 6: I allow others to impact what I do

Question 7: I make an effort to participate in clubs and social organizations

Question 8: I work to have close relationships with others

Question 9: I make an effort to have others around me

Question 10: I prefer when others act close to me

Question 11: I make an effort to be apart of what others are doing

Question 12: I permit others to greatly impact what I do

Question 13: I make an effort to join in with other doing activities together

Question 14: I make an effort to have close personal relationships with others

Question 15: When I can, I am inclined to associate in groups that gather together regularly

Question 16: When others socialize, I am inclined to be apart

Question 17: I prefer other to include me in what they are doing

Question 18: When around others, I am the one in command of things

Question 19: I prefer when others are deep and meaningful toward me

Question 20: I attempt to have other do things how I would do them

Question 21: I enjoy when others invite me to be a part of what they are doing

Question 22: I greatly assert what I think others should do

Question 23: I prefer others to act distant towards me

Question 24: I make an effort to influence others to do what I want done

Question 25: I enjoy when others ask me to join in what they are doing

Question 26: When I am around others, I make an effort to exert my leadership

Question 27: I enjoy when others ask me to be a part of what they are doing

Question 28: When around others, I make every effort to be a leader

Question 29: I prefer that others behave aloof and reserved in their interaction with me

Question 30: I allow others to determine for themselves what to do

Question 31: Anytime tasks or other jobs need completed I try to have others do it my way

Question 32: I allow others to make their own decisions

Question 33: I attempt to be open and approachable to others

Question 34: I prefer when others behave in a deep and meaningful way towards me

Question 35: I seek to have deep connections with others

Question 36: I freely allow others to guide me

Question 37: I enjoy being included in conversations with others

Question 38: I enjoy being included in conversations with others

Question 39: I allow others to greatly impact my conduct

Question 40: I enjoy when others ask me to join in things

Question 41: I greatly assert what I think others should do

Question 42: I allow others to exert their leadership and take care of things

Question 43: My close relationships with others are cool and reserved

Question 44: I want others interactions with me to be cool and distant

Question 45: I behave somewhat distant and reserved with others

Question 46: I enjoy being asked to participate when others are doing things

Question 47: Around others I try to exert my leadership to get things done

Question 48: I prefer others to act distant towards me

Question 49: I make an effort to be deep and meaningful with others

Question 50: I allow others to be in charge of what I do

Question 51: I enjoy when others ask me to be included in what they are doing

Question 52: I prefer when others act close towards me

Question 53: I enjoy when others ask me to join in with what they are doing

Question 54: I enjoy when others behave kindly toward me

Question 55: When with a group of friends, I tend to go with the flow

Question 56: When someone offers me good advice, I take it

Question 57: I greet others with a smile and a handshake

Question 58: When I see others having a good time I jump in with both feet

Question 59: When I believe someone needs my advice, I give it freely

Question 60: I prefer others to greet me with a hug, rather than a handshake