Please complete the following four sections indicating the extent of your agreement or disagreement with the 20 sentences that comprise each quadrant. When completed total your score and compare with the scoring key at the end of the inventory. The inventory assesses your current life situation and outcome scores will change as life circumstances change over time.

SECTION ONE: PRODUCTIVE

This section assesses your productive activities outside the home whether voluntary or as a form of employment.

STATEMENTS	Agree - Disagree
1. I feel I contribute usefully to my work/community.	1 -2 -3- 4 -5
2. I feel secure in my position.	1 -2 -3 -4 -5
3. My work's expectations of me are reasonable.	1 -2 -3 -4 -5
4. I am adequately rewarded for my efforts.	1 -2 -3 -4 -5
5. I get the recognition I deserve.	1 -2 -3 -4 -5
6. I like the people I work with.	1 -2 -3 -4 -5
7. I respect the people I work for.	1 -2 -3 -4 -5
8. I work about the right number of hours for me.	1 -2 -3 -4 -5
9. The work I do is interesting.	1 -2 -3 -4 -5
10.My work does not compromise my moral standards.	1 -2 -3 -4 -5
11. I still have energy left at the end of my work day.	1 -2 -3 -4 -5
12. I look forward to my job at the start of the week.	1 -2 -3 -4 -5
13. My work is varied and interesting enough for me.	1 -2 -3 -4 -5
14. I am stimulated by the challenges of the job.	1 -2 -3 -4 -5
15. I know how to do the work expected of me	1 -2 -3 -4 -5
16. My performance is fairly reviewed annually.	1 -2 -3 -4 -5
17.There is no conflict between my work and my personal life.	1 -2 -3 -4 -5
18. There are clear procedures for resolving conflicts at work.	1 -2 -3 -4 -5
19. I keep my resume updated.	1 -2 -3 -4 -5
20. I know specifically what steps I would take if this position were to end.	1 -2 -3 -4 -5
TOTAL	_+_+_+_+_ =

SECTION TWO: FAMILY

This section assess the current and past influences of your family on your present life situation.

STATEMENTS	Agree--Disagree
1. I have family members with whom I maintain contact.	1 -2 -3 -4 -5
2. I am appropriately involved with my family.	1 -2 -3 -4 -5
3. My family are supportive.	1 -2 -3 -4 -5
4. My family are a frequent source of pleasure to me.	1 -2 -3 -4 -5
5. I am proud of my family.	1 -2 -3 -4 -5
6. When I was a child I knew my mother loved me.	1 -2 -3 -4 -5
7.My mother was appropriately physically affectionate.	1 -2 -3 -4 -5
8.My mother was interested in my life, but not intrusive.	1 -2 -3 -4 -5
9. My mother was proud of me.	1 -2 -3 -4 -5
10. I am proud of my mother.	1 -2 -3 -4 -5
11. When I was a child I knew my father loved me.	1 -2 -3 -4 -5
12.My father was appropriately physically affectionate.	1 -2 -3 -4 -5
13.My father was interested in my life, but not intrusive.	1 -2 -3 -4 -5
14. My father was proud of me.	1 -2 -3 -4 -5
15. I am proud of my father.	1 -2 -3 -4 -5
16. My siblings and I got along well.	1 -2 -3 -4 -5
17. I was not asked to assume more responsibility for my siblings than I was capable of.	1 -2 -3 -4 -5
18. Alcoholism / drug abuse were not issues in my family.	1 -2 -3 -4 -5
19. I was never physically / sexually abused.	1 -2 -3 -4 -5
20. Growing up in my family was generally a positive experience	1 -2 -3 -4 -5
TOTAL	_+_+_+_+_ =

SECTION THREE: PARTNER

This section assesses your relationship with your committed sexual partner. I not currently in a committed relationship, please disregard this section.

disagree agree

STATEMENT	Agree-----Disagree
1. I have a mate.	1 -2 -3 -4 -5
2. I love my partner.	1 -2 -3 -4 -5
3. My partner loves me.	1 -2 -3 -4 -5
4. My partner treats me with respect.	1 -2 -3 -4 -5
5. My partner does not run me down in company.	1 -2 -3 -4 -5
6. My partner never physically abuses me.	1 -2 -3 -4 -5
7. My partner never verbally abuses me.	1 -2 -3 -4 -5
8. I never physically abuse my partner.	1 -2 -3 -4 -5
9. I never verbally abuse my partner.	1 -2 -3 -4 -5
10. When I have a problem my partner is supportive.	1 -2 -3 -4 -5
11. My partner has a sense of humour.	1 -2 -3 -4 -5
12. We spend more than half an hour a day talking	1 -2 -3 -4 -5
13. We touch / hug more than 5 times a day.	1 -2 -3 -4 -5
14. We share many common interests.	1 -2 -3 -4 -5
15. We have an enthusiastically satisfactory sex life	1 -2 -3 -4 -5
16. My partner is a good friend.	1 -2 -3 -4 -5
17. I am proud to be my partner's mate.	1 -2 -3 -4 -5
18. We are able to resolve problems respectfully.	1 -2 -3 -4 -5
19.I share more of myself in this relationship than in any other.	1 -2 -3 -4 -5
20. I feel safe in this relationship.	1 -2 -3 -4 -5
TOTAL	_+_+_+_+_ =

SECTION FOUR: SELF

This section assess your degree of self care and self esteem

STATEMENT	Agree-----Disagree
1. I like myself.	1 -2 -3 -4 -5
2. I am generally happy with my life.	1 -2 -3 -4 -5
3. I have enough time for myself.	1 -2 -3 -4 -5
4. I am a good person.	1 -2 -3 -4 -5
5. I can rely on myself in a crisis.	1 -2 -3 -4 -5
6. I am not frightened about the future.	1 -2 -3 -4 -5
7. I know how to cook nutritious meals.	1 -2 -3 -4 -5
8. I know how to keep a home tidy and clean	1 -2 -3 -4 -5
9. I know how to do minor home repairs	1 -2 -3 -4 -5
10. I know how to keep the car maintained.	1 -2 -3 -4 -5
11. I have a good sense of humour.	1 -2 -3 -4 -5
12. I can say "No! without feeling guilty. "	1 -2 -3 -4 -5
13. I can say "Yes!" without feeling resentment.	1 -2 -3 -4 -5
14. I am at a healthy weight for me.	1 -2 -3 -4 -5
15. I exercise vigorously for 1/2 hour 3X per week.	1 -2 -3 -4 -5
16. I know how to shop for clothes that flatter me.	1 -2 -3 -4 -5
17. When I am unhappy I can turn to others.	1 -2 -3 -4 -5
18. I am capable of forgiveness.	1 -2 -3 -4 -5
19.I regularly do those things I have just said I know how to do.	1 -2 -3 -4 -5
20. I am proud of me.	1 -2 -3 -4 -5
TOTAL	_+_+_+_+_ =

See Scoring Key for interpretation: SCORING KEY

(c) BER Fraser msw,rsw. (1996) Replication permitted only with attribution and if on-line with appropriate link..

Obviously this page needs upgrading for the net. If anyone can suggest how to redesign the page for self scoring please contact me at BER Fraser