自我实现简明指标（BISA）.doc

Brief Index of Self-Actualization

Please respond to each of the questions based on how they apply to you. There are no right or wrong answers. Circle the number on the scale that most closely represents your agreement.

1. I like to discover things about myself even if what I find is unacceptable to my friends.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

2. I don’t have enough time to accomplish my goals.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

3. I like to be alone with my own thoughts.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

4. I fear success.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

5. I find that fear does not keep me from pursuing my goals.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

6. I fear some aspect of my sexuality.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

7. I do not put off work that would allow me to grow.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

8. I would prefer to be with my ideas than with my friends at times.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

9. I know that responsibility goes with success.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

10. I have the strength to face the future.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

11. I could enjoy friendship with a person whose sexuality is not like mine.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

12. I am a person with lots of curiosity.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

13. I organize my thinking about the future.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

14. I like my own company.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

15. I get involved in causes.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

16. I have a special place that is just for me.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

17. I have difficulty thinking of myself as a prominent person.

1 2 3 4 5 6
Strongly Disagree Strongly Agree
18. I look at a child and wonder what I could learn.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

19. I try things different ways just to see what happens.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

20. I think what I am doing now will benefit humankind.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

21. I enjoy my solitude.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

22. I enjoy my achievements.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

23. I think t hat finding out new things about life makes it exciting.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

24. I dread the responsibility that goes with my own growth.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

25. I am a good problem solver.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

26. I know that there is a special contribution for me to make during my lifetime.

1 2 3 4 5 6
Strongly Disagree Strongly Agree
27. I like exploring new ideas.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

28. I fear that I will not live up to my potential.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

29. I regret that I am not doing all that I could toward my dreams.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

30. I prepare for my future.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

31. I feel uneasy when I am alone.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

32. I want no part of the past.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

33. I don’t know why I work so hard because people are always working against you.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

34. I am unsure about what I really want.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

35. I am suspicious about the motives of others.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

36. I am happy.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

37. I am sensitive to the needs of others.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

38. I give of myself to others.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

39. I am still learning.

1 2 3 4 5 6
Strongly Disagree Strongly Agree

40. I question “why” when someone is friendly to me.

1 2 3 4 5 6
Strongly Disagree Strongly Agree