Please indicate how much you AGREE or DISAGREE Disagree Agree
with each statement. (mark one) Strongly Disagree Uncertain Agree Strongly You have people close to you who motivate and 1. 1 2 3 4 5 encourage your recovery. You have never deliberately said something that hurt 2. 1 2 3 4 5 someone's feelings. 3. You only do things that feel safe. 1 2 3 4 5 You are sometimes irritated by people who ask favors 4. 1 2 3 4 5 of you. You have close family members who want to help you 5. 1 2 3 4 5 stay away from drugs. 6. You have good friends who do not use drugs. 1 2 3 4 5 When you do not know something, you do not at all 7. 1 2 3 4 5 mind admitting it. 8. You have carried weapons, like knives or guns. 1 2 3 4 5 You have people close to you who can always be 9. 1 2 3 4 5 trusted. 10. You feel a lot of anger inside you. 1 2 3 4 5 You sometimes try to get even rather than forgive and 11. 1 2 3 4 5 forget. 12. You have a hot temper. 1 2 3 4 5
13. You like others to feel afraid of you. 1 2 3 4 5
You are always willing to admit it when you make a 14. 1 2 3 4 5 mistake. 15. You feel mistreated by other people. 1 2 3 4 5
16. You avoid anything dangerous. 1 2 3 4 5
You have people close to you who understand your 17. 1 2 3 4 5 situation and problems. 18. You are very careful and cautious. 1 2 3 4 5 There have been occasions when you took advantage 19. 1 2 3 4 5 of someone. 20. You work in situations where drug use is common. 1 2 3 4 5 You have people close to you who expect you to make 21. 1 2 3 4 5 positive changes in your life. You can remember "playing sick" to get out of 22. 1 2 3 4 5 something. No matter who you are talking to, you are always a 23. 1 2 3 4 5 good listener. 24. You get mad at other people easily. 1 2 3 4 5 You have people close to you who help you develop 25. 1 2 3 4 5 confidence in yourself. 26. You like to do things that are strange or exciting. 1 2 3 4 5 You have felt like rebelling against people in authority 27. 1 2 3 4 5 even when they were right. 28. You have urges to fight or hurt others. 1 2 3 4 5 Please fill in the "Agree" box as your response for this 29. 1 2 3 4 5 question. 30. You like to take chances. 1 2 3 4 5 You have people close to you who respect you and 31. 1 2 3 4 5 your efforts. Occasionally, you gave up doing something because 32. 1 2 3 4 5 you thought too little of your ability. 33. You like the "fast" life. 1 2 3 4 5
Getting What You Want (and Deserve): From Rotten Bosses, Demanding Spouses, Phony Friends, Prying Parents, Annoying Neighbors, and Other Irritating People