SELF- RATING QUESTIONNAIRE

Instructions

1. This q u e s t i o n n a i r e c o n s i s t s o f 7 0 b r i e f s t a t e m e n t s . Read e a c h
Statement and decide how well it describes you. Be honest
about yourself.
2. Select one of the numbers below to indicate how well the statement
describes you:
5 = very well

4 = well

3 = somewhat

2 = Very little

1 = Not at all

3. Write the number you select on the line to the right of each statement. Here
is an example:
I remain calm in stressful situations. 2

The person who responded to the item above wrote a “2” indicating that the
statement 2 described him or her very little.

4. Some statements may be similar, but no two are exactly alike.

5. Please answer all questions.

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 Write the number on the line to the right of each statement

Sr. No Statement Score

1 I look for things that need to be done.
2 I like challenges and new opportunities.
3 When faced with difficult problem, I spend a lot of time trying to find a
solution
4 When starting a new task or project, I gather a great deal of information
5 It bothers me when things are not done very well.
6 I give much effort to my work.
7 I find ways to do things faster.
8 I plan a large project by breaking it down into smaller tasks.
9 I think of unusual solutions to problems
10 I feel confident that will succeed at whatever I try to do.
11 I tell others when they have not performed as expected.
12 I get others to support my recommendations.
13 I develop strategies to influence others.
14 No matter whom I’m talking to, I’m good listener.
15 I do things that need to be done before being asked to by others
16 I prefer activities that I know well and with which I am comfortable.
17 I try several times to get people to do what I would like them to do
18 I seek the advice of people who know a lot about the problems or tasks I
am working on
19 It is important to me to do a high quality job.
20 I work long hours and make personal sacrifices to complete jobs on
time.
21 I am not good at using my time well.
22 I think about the advantages and disadvantages of different ways of
accomplishing things.
23 I think of many new ideas.
24 I change my mind if others disagree strongly with me.
25 If I am angry or upset with someone, I tell that person.
26 I convince others of my ideas.

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27 I do not spend much time thinking about how to influence others
28 I feel resentful when I don’t get my way.
29 I do things before it is clear that they must be done.
30 I notice opportunities to do new things
31 When something gets in the way of what I am trying to do, I keep on
trying to accomplish what I want.
32 I take action without seeking information.
33 My own work is better than that of other people I work with
34 I do whatever it takes to complete a job.
35 It bothers me when my time is wasted.
36 I try to think of alone problems I may encounter and plan what to do if
each problem occurs.
37 Once I have selected an approach to solving a problem, I do not change
that approach.
38 When trying something difficult or challenging, I feel confident that I
will s succeed.
39 It is difficult for me to order people to do things.
40 I get others to see how I will be able to accomplish what I set out to do.
41 I get important people to help me accomplish by goals
42 In the past, I have had failures.
43 I take action before it is clear that I must.
44 I try things that are very new and different from what I have done
before.
45 When faced with a major difficulty, I quickly go on to other things.
46 When working on a project for someone, I ask many questions to be sure
I understand what that person wants.
47 When something I have been working on is satisfactory I do not spend
extra time trying to make it better.
48 When I am doing a job for someone, I make a special effort to make sure
that person is satisfied with my work.
49 I find ways to do things for less cost
50 I deal with problems as they arise, rather than spend time trying to
anticipate them.
51 I think of many ways to solve problems.
52 I do things that are risky.
53 When I disagree with others, I let them know.

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54 I am very persuasive with others
55 In order to reach my goals, I think of solutions that benefit everyone
involved in a problem.
56 There have been occasions when I took advantage of someone.
57 I wait for direction from others before taking action.
58 I take advantage of opportunities that arise.
59 I try several ways to overcome things that get in the way of reaching my
goals.
60 I go to several different sources to get information to help with tasks or
projects.
61 I want the company I own to be the best of its type.
62 I do not let my work interfere with my family or personal life.
63 I get the most I can out of the money I have to accomplish a project or
task.
64 I take a logical and systematic approach to activities.
65 If one approach to a problem does not work, I think of another approach.
66 I stick with my decisions even if other disagree strongly with me.
67 I tell people what they have to do, Even if they do not want to do it.
68 I cannot get people who have strong opinions or ideas to change their
minds.
69 I get to know people who may be able to help me reach my goals.
70 When I don’t know something, I don’t mind admitting it

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 SCORING SHEET FOR SELF-RATING QUESTIONNAIRE
Instructions
1) Enter the ratings from the completed questionnaire on the lines above the items numbers in parentheses. Notice
that the item numbers in each column are consecutive: item number 2 is below item number 1, and so forth.
2) Do the addition and subtraction indicated in each row to compute each competency score.
3) Add all competency scores to compute the total score.

Rating of Statements Score Competency

+ + + - +6 =
(1) (15) (29) (43) (57) Initiative

- + + + +6 = Sees and Acts on opportunities

(2) (16) (30) (44) (58)
+ + - + +6 =
(3) (17) (31) (45) (59) Persistence

+ - + + +6 = Information seeking
(4) (18) (32) (46) (60)
+ + - + +6 = Concern for high quality of work
(5) (19) (33) (47) (61)

Commitment
+ to+work contract
+ - +6 =
(6) (20) (34) (48) (62)

Efficiency
- +
Orientation + + +6 =
(7) (21) (35) (49) (63)

+ + - + +6 =
(8) (22) (36) (50) (64) Systematic Planning

+ - + + +6 = Problem Solving
(9) (23) (37) (51) (65)

- + + + +6 = Self-confidence
(10) (24) (38) (52) (66)
+ - + + +6 = Assertiveness
(11) (25) (39) (53) (67)

+ + + - +6 = Persuasion
(12) (26) (40) (54) (68)

- + + + +6 = Use of influence strategies

(13) (27) (41) (55) (69)

TOTAL SCORE
- - - + + 18 = Correction Factor
(14) (28) (42) (56) (70)

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 CORRECTED SCORING SHEET

Instructions
1. The correction factor (the total of items 14, 28, 42, 56 and 70) is used to
determine whether or not a person tries to present a very favourable image of
himself. If the total score on this factor is 20 or greater, then the total scores on
the 13 competencies must be corrected to provide a more accurate assessment
of the strength of the competencies for that individual.
2. Use the following numbers when figuring the corrected score:

If the correction Factor score is Subtract the following correction

number from the total score for
each competency
24 or 25 7
22 or 23 5
20 or 21 3
19 or less 0

3. Use the page below to correct each competency before using the Profile Sheet.

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 CORRECTED SCORE SHEET
Competency Original Correction Corrected
Score - number* = Total

1. Initiative - _________ _ =

2. Sees and acts on

Opportunities - =

3. Persistence - =

4. Information seeking - =
5. Concern for High Quality
of
Work - =
6. Commitment to work
Contract - =

7. Efficiency Orientation - =

8. Systematic Planning - =

9. Problem solving - =

10. Self-Confidence - =

11. Assertiveness - =

12. Persuasion - =

13. Use of influence - =

Strategies

Corrected Total Score =