General Awareness Scale

Student Name: ________________________________________________

Use the scale of 1 to 7 (1=Strongly Disagree, 4=No Opinion, 7-Strongly Agree) to indicate how much
you agree or disagree with each statement.
Does Strongly No Strongly
not Disagree Opinion Agree
apply
1. I think my beliefs and 1 2 3 4 5 6 7
attitudes are influenced by
my culture.
2. I think my behaviors are 1 2 3 4 5 6 7
influenced by my culture.
3. I often reflect on how culture 1 2 3 4 5 6 7
affects beliefs, attitudes, and
behaviors.
4. When I have an opportunity 1 2 3 4 5 6 7
to help someone, I offer
assistance less frequently to
individuals of certain cultural
backgrounds.
5. I am less patient with 1 2 3 4 5 6 7
individuals of certain cultural
backgrounds.
6. I feel comfortable working 1 2 3 4 5 6 7
with persons of all ethnic
groups.
7. I believe ones’ own cultural 1 2 3 4 5 6 7
beliefs influence their
professional decisions.
8. I typically feel somewhat 1 2 3 4 5 6 7
uncomfortable when I am in
the company of people from
cultural or ethnic
backgrounds different from
my own.