Survey of Self Values

Rate the following words to indicate how much you value each item as it contributes to your image of
yourself. Circle the number that BEST describes you.

I value:
1= not at all 2 = not very 3 = somewhat 4 = very
important important important important

Caring 1 2 3 4

Active giving 1 2 3 4

Education 1 2 3 4

Family 1 2 3 4

Loyalty 1 2 3 4

Reliability 1 2 3 4

Respect 1 2 3 4

Truth and Honesty 1 2 3 4

Sharing 1 2 3 4

Kindness 1 2 3 4

Friendship 1 2 3 4

Helping others 1 2 3 4

Courage 1 2 3 4

Self-Discipline 1 2 3 4

Patience 1 2 3 4

Compassion 1 2 3 4

Altruism 1 2 3 4

Equality 1 2 3 4

Generosity 1 2 3 4

Integrity 1 2 3 4

Empathy 1 2 3 4