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Hello:

You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.


Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.


Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.


 
 
I am aware of the physical reactions (twinges, aches, sudden changes) that signal a gut feeling (an intuitive reaction of disgust)
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I readily admit mistakes and apologize
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I let go of problems, anger or hurts from the past and I can move beyond these.
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I generally have an accurate idea of how another person perceives me during a particular reaction
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I generally have an accurate idea of how another person perceives me during a particular reaction
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I have several important things in my life that I am enthusiastic about and I let it show
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I can easily meet and initiate conversation with new people when I have to
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I have little trouble taking risks
 
 
Always
 
Often
 
Sometimes
 
Never
 
 
I “open up” with people appropriately not too much but enough so that I don’t come across as cold and distant
 
 
Always
 
Often
 
Sometimes
 
Never
 
Please contact [email protected] if you have any questions regarding this survey.
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