Exercise 1:

Self-Assessment Questionnaire
The following checklist is a self-administered, self-scored tool to assist you in determining your
readiness for distance learning course work.

To use the readiness checklist, simply answer "Yes" or "No" to each of the statements listed.
(You may "write" the appropriate box with your activity sheet.)Be as honest with yourself as
you can, and decide for yourself if distance learning is for you!

Yes No

1. I am a self-motivated individual.

2. I am able to work independently with little direction.

3. I am self-starter.

4. I am a good "time-manager.

5. I am capable of self-discipline.

6. I am an organized person.

7. I have good study habits.

8. I can capably take notes from lecture, textbooks, or television

program.

9. I can capably read for comprehension.

10. I can capably prepare and study for objective and subjective
exams.
Exercise 2:

Self-Assessment: The Self-Report of Behavior Scale

Rate each of the following self-statements as honestly as possible by encircling the frequency
that best describes your behavior.

A. Never B. Rarely C. Occasionally D. Frequently E. Always

A B C D E 1. I have spread negative talk about someone becauseI suspected that he or she was
gay.

A B C D E 2. I have participated in playing jokes on someone because I suspected that he or she

was gay.

A B C D E 3. I have changed roommates and/or rooms because I suspected my roommate was

gay.

A B C D E 4. I havewarned people who I thought were gay and who were a little too friendly
with me to keep away from me.

A B C D E 5. I have attended anti-gay protests.

A B C D E 6. I have been rude to someone because I thought that he or she was gay.

A B C D E 7. I havechanged seat locations because I suspected the person sitting next to me was
gay.

A B C D E 8. I have had to force myself to keep from hitting someone because he or she was gay
and very near me.

A B C D E 9. When someone I thought to be gay has walked toward me as if to start a

conversation, I have deliberately changed directions and walked away to avoid him or her.

A B C D E 10. I have stared at a gay person in such a manner as to convey to him or her my
disapproval of his or her being too close to me.