REFLECTED MEASURE OF INTRAPERSONAL AND INTERPERSONAL SKILLS
Note to the MGTC90 student:
This questionnaire helps you obtain information about your interpersonal and intrapersonal skills from different
kinds of people. Such information will enable you to gain accurate self awareness. This is the same questionnaire
you completed in the self-assessment part of your interpersonal and intrapersonal skills.
For the Self Awareness class session, give it to the person listed in 1) below. For your first assignment you will also
give it to people listed in (2) and (3)
1. A friend/family member/life partner -- someone who knows you in personal situations;
2. A colleague/supervisor/subordinate -- someone who you did professional work with, in
school or in a volunteer position or in a paid/unpaid work position.
3. A new acquaintance you met and interacted with in this course-- someone you did a role play
exercise with in this course.
When giving it to the persons above, ask them to complete the questionnaire with you in mind. Tell this person that
you will use it to develop your leadership skills and that it is part of your coursework in MGTC90 and that it is very
important that they answer it as honestly as possible. Assure them that only you will be able to see their response.
Fill in your name in the blanks provided on the top of page 2 of this document before giving it to the person you
choose.
Only give pages 2 - 4 to the person who will rate you.
After the person you choose completes this questionnaire, you can compare your assessment of your interpersonal
and intrapersonal skills with that person’s assessment of your interpersonal and intrapersonal skills.
REFLECTED MEASURE OF INTERPERSONAL AND INTRAPERSONAL SKILLS
COMPLETED BY _________________________________________________(name & relation to c90 student)
Thank you for agreeing to complete this survey for ___________________________ as part of an exercise for a leadership
course. Your responses to this survey will be very useful to _______________________________. Please note that this
survey is completely confidential and anonymous. Only the person who gave it to you will be able to see your responses.
Your responses will not affect the person’s course grades in any way.
Please answer this survey as honestly as possible for ___________________________ for it measures his/her social skills
(Baron-Cohen, 2001), self control (Grasmick, 1993), attitudes towards authority (Rigby, 1987), Self Esteem (Judge, Erez,
Bono, & Thoreson, 2003) and Self Monitoring (Snyder, 1974). Any items you may object to can be left blank. After
completing this survey, please return it to the person you are rating.
Please describe _______________________________ as s/he is generally now, not as you wish them to be, or what they
wish to be in the future. Describe ____________________ as you honestly see him/her, in relation to other people similar to
him/her with respect to sex, and age.
Below are phrases describing people's behaviors. Please read each statement carefully, and then indicate how accurately
each statement describes ______________________ by marking the appropriate number on the scale beside each
question.
Use the following format for items 1-34:
1
Definitely Disagree
2
Slightly Disagree
3
Slightly Agree
________________________________
1. … prefers to do things with others rather than on his/her own.
4
Definitely Agree
1
2
3
4
2.
… finds social situations easy.
1
2
3
4
3.
… would rather go to the library than a party.
1
2
3
4
4.
… finds him/herself draw more strongly to people than to things.
1
2
3
4
5.
… finds it hard to make new friends.
1
2
3
4
6.
… finds it easy to work out what someone is thinking or feeling
1
2
3
4
by just looking at their face.
7.
… enjoys social occasions.
1
2
3
4
8.
... finds it difficult to work out people’s intentions.
1
2
3
4
9.
… enjoys meeting new people.
1
2
3
4
10. … is a good diplomat.
1
2
3
4
11. … loses his/her temper pretty easily.
1
2
3
4
12. … often, when he/she is angry at people he/she feels more like hurting them
1
2
3
4
13. … when really angry, other people better stay away from him/her.
1
2
3
4
14. … when having a serious disagreement with someone, it’s usually
1
2
3
4
15. … often acts on the spur of the moment without stopping to think.
1
2
3
4
16. … doesn’t devote much thought and effort to preparing for the future.
1
2
3
4
17. … often does whatever brings him/her pleasure here and now, even at
1
2
3
4
1
2
3
4
than talking to them about why he/she is angry.
hard for him/her to talk calmly about it without getting upset.
the cost of some distant goal.
18. … is more concerned with what happens to him/her in the short run
than in the long run.
19. … is frequently trying to avoid projects that he/she knows to be difficult.
1
2
3
4
20. … when things get complicated, he/she tends to quit or withdraw.
1
2
3
4
21. … finds that the things in life that are easiest to do brings him/her most pleasure.
1
2
3
4
22. … dislikes really hard tasks that stretch his/her abilities to the limit.
1
2
3
4
23. … likes to test his/herself every now and then by doing something a little risky.
1
2
3
4
24. … sometimes will take a risk just for the fun of it.
1
2
3
4
25. … sometimes finds it exciting to do things for which he/she might get in trouble for.
1
2
3
4
26. … finds excitement and adventure more important to him/her than security.
1
2
3
4
27. … if given a choice, he/she would almost always rather do something
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
33. … if things he/she does upset people, it’s their problem not his/her.
1
2
3
4
34. … will try to get the things he/she wants even when he/she knows it’s causing
1
2
3
4
physical than something mental.
28. … almost always feel better when he/she is on the move than when he/she
is sitting and thinking.
29. … likes to get out and do things more than he/she likes to read or
contemplate ideas.
30. … seems to have more energy and a greater need for activity than
most other people his/her age.
31. … tries to look out for him/herself first, even if it means making things
difficult for other people.
32. … is not very sympathetic to other people when they are
having problems.
problems for other people.
Use the following format for items 35 – 58:
1
Never
2
Rarely
3
Occasionally
4
Frequently
35. … listens attentively to what older people say about how he/she should
5
Very Frequently
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
38. … criticizes people who are rude to their superiors.
1
2
3
4
5
39. … encourages young people to do what they want to do, even when
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
behave.
36. … questions the judgment of umpires or referees when he/she thinks
they have made an incorrect decision.
37. … when a person in authority whom he/she trusts tells him/her to do something,
he/she does it, even though he/she can’t see the reason for it.
it is against the wishes of their parents.
40. … when he/she goes to work, he/she dress so as to be acceptable
to the people who run the place.
41. … treats experts with respect even when he/she doesn’t think much of them
personally.
42. … supports left-wing, radical policies.
1
2
3
4
5
43. … takes part in demonstrations to show his/her opposition to policies
1
2
3
4
5
44. … expresses approval for the work of school teachers.
1
2
3
4
5
45. … goes to church.
1
2
3
4
5
46. … makes fun of the police.
1
2
3
4
5
47. … when things are bad, he/she looks for guidance from someone wiser
1
2
3
4
5
48. … sympathizes with rebels.
1
2
3
4
5
49. … when in a hurry, he/she breaks the speed limit or encourage his/her
1
2
3
4
5
50. … follows the doctor’s orders.
1
2
3
4
5
51. … questions what he/she hears on the news.
1
2
3
4
5
52. … crosses the road against the pedestrian traffic lights.
1
2
3
4
5
53. … asks for a “second opinion” when he/she feels uncertain about a
1
2
3
4
5
54. … stands when they play Australia’s National Anthem in public.
1
2
3
4
5
55. … expresses contempt for politicians.
1
2
3
4
5
56. … gets annoyed when people sneer at those in authority.
1
2
3
4
5
57. … shows special respect for people in high positions.
1
2
3
4
5
58. … speaks up against his/her boss or person in charge when his/her boss
1
2
3
4
5
he/she does not like.
than him/her.
driver to do so, if it seems reasonably safe.
doctor’s advice.
acts unfairly.
Use the following format for items 59 – 70:
1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
59. … is confident that s/he will get the success s/he deserve.
1
2
3
4
5
60. … sometimes feels depressed.
1
2
3
4
5
61. … when s/he tries, s/he generally succeeds.
1
2
3
4
5
62. … sometimes when s/he fail, s/he feels worthless.
1
2
3
4
5
63. … s/he completes tasks successfully.
1
2
3
4
5
64. … sometimes s/he does not feel in control of his/her work.
1
2
3
4
5
65. … overall s/he is satisfied with himself/herself
1
2
3
4
5
66. … s/he is filled with doubts about his/her competence.
1
2
3
4
5
67. … s/he determines what will happen in his/her life.
1
2
3
4
5
68. … s/he does not feel in control of his/her career successes
1
2
3
4
5
69. … s/he is capable of coping with most of his/her problems
1
2
3
4
5
70. … there are times when things look pretty bleak and hopeless to him/her.
1
2
3
4
5
Use the following format for items 71 – 88:
T
True
F
False
71. … s/he finds it hard to imitate the behavior of others.
T
F
72. …At parties and social gatherings, s/he does not attempt to do
T
F
73. … s/he can only argue for ideas that s/he already believes.
T
F
74. … s/he can make impromptu speeches even on topics about which
T
F
75. … s/he guesses s/he put on a show to impress or entertain people.
T
F
76. … s/he would probably make a good actor.
T
F
77. … in a group of people, s/he is rarely the centre of attention.
T
F
78. … in different situations with different people, s/he acts like very
T
F
79. … s/he is not particularly good at making other people like him/her.
T
F
80. … s/he is not always the person s/he appear to be.
T
F
81. … s/he would not change his/her opinions in order to please someone else
T
F
82. … s/he has considered being an entertainer
T
F
83. … s/he has never been good at games like charades or
T
F
T
F
85. … at a party, s/he lets other keep the jokes and stories going.
T
F
86. … s/he feel a bit awkward in company and do not show up quite as well
T
F
T
F
T
F
or say things that others will like.
s/he has almost no information.
different people.
or win that person’s favor.
improvisational acting.
84. … s/he has trouble changing his/her behavior to suit different people and
different situations.
as s/he should.
87. … s/he can look anyone in the eye and tell a lie with a straight face.
(if for the right end)
88. … s/he may deceive people by being friendly when s/he really dislike them.
Scoring Instructions
Reverse Scoring: For questions 3, 5, 8, and 11 – 34, give yourself 1 point if you circled 4, 2 points if you circled 3, 3 points if
you circled 2, and 4 points if you circled 1. For questions 36, 39, 42, 43, 46, 48, 49, 51, 52, 53, 55, 58, 60, 62, 64, 66, 68 and
70, give yourself 1 point if your circled 5, 2 points if your circled 4, 3 points if your circled 3, 4 points if your circled 2, and 5
points if your circled 1.
True / False Scoring: For questions 71, 72, 73, 77, 79, 81, 83, 84, 85 and 86, give yourself 1 point if you circled False. Give
yourself 0 points if you circled True. For questions 74, 75, 76, 78, 80, 82, 87 and 88, give yourself 1 point if you circled True.
Give yourself 0 points if you circled False.
For all the other questions, give yourself 5 points if your circled 5, give yourself 4 points if you circled 4, 3 points if you circled
3, 2 points if you circled 2, and 1 point if you circled 1.
Social Skills
Item
1
Your Score
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
Reverse Scored
2
3
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
_________ (hint…if you gave yourself a 4, then put 1 in ‘your score’)
Reverse Scored
4
5
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
_________ (hint…if you gave yourself a 4, then put 1 in ‘your score’)
6
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
7
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
8
_________ (hint…if you gave yourself a 4, then put 1 in ‘your score’)
9
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
10
_________ (hint…if you gave yourself a 4, then put 4 in ‘your score’)
_________
Reverse Scored
Total Social Skills
Self Control A
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Total Self Control A
Grand Total Self
Control (A + B)
Attitude Towards
Authority
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Item
Your Score
Self Control B
11
12
13
14
15
16
17
18
19
20
21
22
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Total Self Control B
Ite
m
23
24
25
26
27
28
29
30
31
32
33
34
Your Score
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
___________
Item
35
36
37
38
39
40
41
42
43
44
45
46
47
Your Score
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________
_________
_________
_________
_________
_________
_________
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Total Attitude
Towards Authority
Self Esteem
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Total Self Esteem
Self-Monitoring
Total SelfMonitoring
48
49
50
51
52
53
54
55
56
57
58
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
Item
59
60
61
62
63
64
65
66
67
68
69
70
Your Score
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 5 in ‘your score’)
_________ (hint…if you gave yourself a 5, then put 1 in ‘your score’)
_________
Item
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
Your Score
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled False, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________ (hint…if you circled True, give yourself 1 point, else 0 points
_________
Compute the discrepancy (by subtraction) between your own ratings for each of the interpersonal and intrapersonal skills and the
person’s rating of you on each of these skills.
Person’s Score for You
Your Score
Discrepancy
Total Perceived Social Skills
___________
__________ Total Social Skills
___________
Grand Total Perceived Self
___________
__________ Grand Total Self Control
___________
Control
Total Perceived Attitude
___________
__________ Total Attitude Towards
___________
Towards Authority
Authority
Total Perceived Self Esteem
___________
__________ Total Self Esteem
__________
Total Perceived Self-Monitoring
___________
__________ Total Self-Monitoring
__________