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Appendix 2

SURVEY QUESTIONNAIRE

Part I.
Name: (optional) _________________ Sex: F M
Year & Section: ____________Date:_______

Part II
INSTRUCTIONS
Respondents rate how strongly they agree or disagree with 42 statements using
a 7-point scale (7 = strongly agree; 1 = strongly disagree).

The PWB Scale has six subscales: Autonomy (e.g., “I have confidence in my
opinions, even if they are contrary to the general consensus”); Environmental
Mastery (e.g., “In general, I feel I am in charge of the situation in which I
live”); Personal Growth (e.g., “I think it is important to have new experiences that
challenge how you think about yourself and the world”); Positive Relations With
Others (e.g., “People would describe me as a giving person, willing to share my
time with others”); Purpose in Life (e.g., “Some people wander aimlessly through
life, but I am not one of them”); and Self-acceptance (e.g., “When I look at the
story of my life, I am pleased with how things have turned out”).

RESPONSE FORMAT
7= strongly agree; 6= somewhat agree; 5= a little agree; 4= neither agree nor
disagree; 3= a little disagree; 2= somewhat disagree; 1= strongly disagree.
7 6 5 4 3 2 1
strongly some a neither a some strongly
agree what littl agree littl what disagre
agree e nor e disagr e
agr disagre dis ee
ee e agr
ee

1. I am not afraid to voice


my opinions, even when
they are in opposition to the
opinions of most people.

2. For me, life has been a


continuous process of
learning, changing, and
growth.

3. In general, I feel I am in
charge of the situation in
which I live.

4. People would describe


me as a giving person,
willing to share my time
with others.

5. I am not interested in
activities that will expand
my horizons.

6. I enjoy making plans for


the future and working to
make them a reality.

7. Most people see me as


loving and affectionate.

8. In many ways I feel


disappointed about my
achievements in life.

9. I live life one day at a


time and don’t really think
about the future.

10. I tend to worry about


what other people think of
me.

11. When I look at the


story of my life, I am
pleased with how things
have turned out.

12. I have difficulty

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