© Harris Friedman, Ph.D
Reproduced with permission from the author
Each of us has a unique sense of who we are, our conception of self or identity. Below are several statements which people may use to describe their sense of self. Using the rating scale provided, rate the extent to which you agree with each statement as being accurate in describing your sense of self.
There are no right or wrong answers and you are requested to answer on the basis of your own experiences and beliefs, not just on the basis of logic. Take your time and feel free to go back and change your answers. If you have trouble deciding any of these, please make your best choice and do not leave any unanswered.
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I am willing to describe my sense of self or identity as Neither Agree Nor Disagree including my emotions and feelings as experienced in the present.
I am willing to describe my sense of self or identity as including thoughts and feelings I experienced as a child.
I am willing to describe my sense of self or identity as including the unique individual that I am in the present.
I am willing to describe my sense of self or identity as including the social relationships which I experience .
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
I am willing to describe my sense of self or identity as including the way I behaved in living my life as a child.
I am willing to describe my sense of self or identity as including experiences of all life forms of which I am one.
I am willing to describe my sense of self or identity as including sensations from parts of my body, such as my heart, that I experience.
I am willing to describe my sense of self or identity as including the way I behave in living my life in the present.
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
5618 NW 43 rd Street, Gainesville, FL 32653

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I am willing to describe my sense of self or identity as including future happenings which I will experience.
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I am willing to describe my sense of self or identity as including my thoughts and ideas as experienced in the present.
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I am willing to describe my sense of self or identity as including the way I will behave in living my life in the future.
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I am willing to describe my sense of self or identity as including the individual atoms of my body.
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I am willing to describe my sense of self or identity as including the physical surroundings which have an influence on my behaviour.
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I am willing to describe my sense of self or identity as including all that happened before my lifetime which has in some way influenced me.
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I am willing to describe my sense of self or identity as including the behaviour of parts of my body, such as my facial expressions.
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I am willing to describe my sense of self or identity as including my attitudes and values in the present.
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I am willing to describe my sense of self or identity as including the entire universe beyond time which is me in an ultimate sense.
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I am willing to describe my sense of self or identity as including the beings that might descend from me in the distant future who may not have human form.
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Neither Agree Nor Disagree
Kolp Institute
5618 NW 43 rd Street, Gainesville, FL 32653