REFLECTED MEASURE OF INTRAPERSONAL AND INTERPERSONAL SKILLS
Note To the MGTC24 student:
This questionnaire helps you obtain information about your interpersonal and intrapersonal skills from someone
who knows you well. 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.
Give this questionnaire to someone you trust and whose opinion you respect. Ask this person 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 MGTC24 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 & 3 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
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), and attitudes towards authority (Rigby, 1987). 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:
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
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.
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
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.
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.
Scoring Instructions
Reverse Scoring: For questions 3, 5, 8, and 11 – 34, give yourself 1 point if the person scoring you circled 4, 2 points if the
person scoring circled 3, 3 points if the person scoring you circled 2, and 4 points if the person scoring you circled 1. For
questions 36, 39, 42, 43, 46, 48, 49, 51, 52, 53, 55, and 58, give yourself 1 point if the person scoring your circled 5, 2 points
if the person scoring you circled 4, 3 points if the person scoring you circled 3, 4 points if the person scoring you circled 2,
and 5 points if the person scoring you circled 1.
For all the other questions, give yourself 5 points if the person scoring you circled 5, give yourself 4 points if the person
scoring you circled 4, 3 points if the person scoring you circled 3, 2 points if the person scoring you circled 2, and 1 point if
the person scoring you circled 1.
Social Skills
Item Perceived Score
1
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
Reverse Scored
2
3
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 4, then put 1 in ‘perceived score’)
Reverse Scored
4
5
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 4, then put 1 in ‘perceived score’)
6
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
7
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
8
_________ (hint…if the person scoring you gave you a 4, then put 1 in ‘perceived score’)
9
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
10
_________ (hint…if the person scoring you gave you a 4, then put 4 in ‘perceived score’)
_________
Reverse Scored
Total Perceived
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 Perceived
Self Control A
Grand Total
Perceived Self
Control (A + B)
Item
11
12
13
14
15
16
17
18
19
20
21
22
Perceived Score
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
Attitude Towards
Authority
Item
Perceived Score
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
35
36
37
38
39
40
41
42
43
44
45
46
47
48
Self Control B
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 Perceived
Self Control B
___________
Item
23
24
25
26
27
28
29
30
31
32
33
34
Perceived Score
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________ (hint…if the person scoring you gave you a 5, then put 5 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 5, then put 1 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 5, then put 5 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 5, then put 5 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 5, then put 1 in ‘perceived score’)
_________ (hint…if the person scoring you gave you a 5, then put 5 in ‘perceived score’)
_________
_________
_________
_________
_________
_________
_________
_________
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Reverse Scored
Total Perceived
Attitude Towards
Authority
49
50
51
52
53
54
55
56
57
58
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
_________
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
Total Perceived Social Skills
Grand Total Perceived Self
Control
Total Perceived Attitude
Towards Authority
__________
__________
__________
Your Score
Total Social Skills
Grand Total Self Control
Total Attitude Towards
Authority
___________
___________
Discrepancy
___________
___________
___________
___________