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Please think of an ideal job, disregarding your present job, if you have one, in choosing an ideal job, how important would it be to you to... (please circle one answer in each line across):
Of utmost importance very important of moderate importance of little importance of very little or no importance
have sufficient time for your personal or home life
have a boss you can respect
get recognition for good performance
have security of employment
have pleasant people to work with
do work that is interesting
be consulted by your boss in decisions involving your work
live in a desirable area
have a job respected by your family and friends
have chances for promotion
 
 
In your private life, how important is each of the following to you: (please circle one answer in each line across):
of utmost importance very important of moderate importance of little importance of very little or no importance
keeping time free fun
moderation: having few desires
being generous to other people
modesty: looking small, not big
 
 
 
If there is something expensive you really want to buy but you do not have enough money, what do you do?
 
always save before buying
 
usually save first
 
sometimes save, sometimes borrow to buy
 
usually borrow and pay off later
 
always buy now, pay off later
 
 
 
How often do you feel nervous or tense?
 
always
 
usually
 
sometimes
 
seldom
 
never
 
 
 
Are you a happy person?
 
always
 
usually
 
sometimes
 
seldom
 
never
 
 
 
Are you the same person at work (or at school if you're a student) and at home?
 
quite the same
 
mostly thes ame
 
don't know
 
mostly different
 
quite different
 
 
 
Do other people or circumstances ever prevent you from doing what you really want to?
 
yes, always
 
yes, usually
 
sometimes
 
no, seldon
 
no, never
 
 
 
All in all, how would you describe your state of health these days?
 
very good
 
good
 
fair
 
poor
 
very poor
 
 
 
How important is religion in your life?
 
of utmost importance
 
very important
 
of moderate importance
 
of little importance
 
of no importance
 
 
 
How proud are you to be a citizen of your country?
 
not proud at all
 
not very proud
 
somewhat proud
 
fairly proud
 
very proud
 
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