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                  The Quality of Motivation Questionnaire 
   Version 380390a: Adult English: Personal All Material Copyrighted

  

First Name     Last Name         

              Occupation  

Today's Date:
Month  Day    Year 

QMS Systems Number  (Required)

QMS Systems Contact Person
 (Required)

 

Please answer all the following questions as to whether they are
generally TRUE or FALSE, even if you think a question does not have an exact answer. 
Do not spend too much time on a single question.
Please be candid; answer the questions as you really are.

 

Click either  T  or  F for each question. 
TF 1. I don't own any poetry books.
TF 2. I'm not really concerned about toxic waste affecting me personally.
TF 3. Right now I'm recovering from an injury.
TF 4. I take more than usual precautions to keep from getting electrical shocks.
TF 5. I exercise more than most people.
TF 6. I get to smell fresh flowers frequently.
TF 7. Lately my nightmares seem worse.
TF 8. The sight of blood doesn't bother me.
TF 9. I get more than one back rub per week.
TF 10. I don't have time for hobbies.
TF 11. All my clocks are accurate to the minute.
TF 12. The best trip is going to somewhere I have never been before.
TF 13. I can make decisions when no one else will.
TF 14. I don't take as much pride in my appearance as I used to.
TF 15. In a restaurant I am very unlikely to send back food.
TF 16. I'm finicky about my food.
TF 17. I get kissed frequently.
TF 18. Hunting is one of my interests.
TF 19. I really enjoy hearing jokes.
TF 20. Heights scare me.
TF 21. I get severe cramps.
TF 22. I embarrass easily.
TF 23. Wide open spaces scare me.
TF 24. I have acquired a lot of things that give me pleasure.
TF 25. I can make a lot of friends wherever I go.
TF 26. I have a fire extinguisher.
TF 27. I never get to have the last word in an argument.
TF 28. I always wear my seat belt.
TF 29. I really go out of my way not to hurt others' feelings.
TF 30. "Junk" food is part of my diet.
TF 31. My credit rating is great.
TF 32. I'll go along with what the group wants even if I don't enjoy it.
TF 33. I often let others take the credit for my ideas.
TF 34. I can't keep plants alive.
TF 35. My eating habits embarrass me or my friends.
TF 36. I drink, smoke, or eat too much.
TF 37. People say that I tend to invent crises.
TF 38. I suffer from eye strain.
TF 39. I have fears I know I should get rid of.
TF 40. Winning is better than losing.
TF 41. If I have a fatal disease I would rather not know.
TF 42. I'm not considered a self starter.
TF 43. I don't have as much fun as I used to.
TF 44. When things don't go my way I get mad and everybody knows  it.
TF 45. The texture of the sheets on my bed is important to me.
TF 46. Parties are a lot of fun.
TF 47. Gambling is fun, even when no money is involved.
TF 48. My body image is fine.
TF 49. I leave on at least one light at night.
TF 50. I suffer from arthritis.
TF 51. I just can't work under a lot of pressure.
TF 52. Receiving affection in public bothers me.
TF

53. My schedule does not permit me to pay the kind of  attention to my body that I    would like.

TF  54. I have several magazine subscriptions.
TF  55. I keep emergency numbers next to the phone.
TF  56. When someone is obnoxious I do something about it.
TF  57. I carry flares and jumper cables in my car.
TF  58. I sometimes control my temper by staying away from  someone.
TF  59. I take better care of my music collection than most people.
TF  60. If someone cuts in front of me in line I let them know I don't like it.
TF  61. If I start having fun I feel guilty.
TF  62. I would get the respect I deserve from my peers if I would learn to keep my mouth shut.
TF  63. I usually ruin something when I cook.
TF  64. I'm in danger of losing my drivers license.
TF  65. I go out of my way to make others happy.
TF  66. Most people see through my excuses.
TF  67. I tend to stay out in the sun or the heat too long.
TF  68. I wish I didn't tend to "wallow in my misery."
TF  69. I never lie.
TF  70. It's fun to eavesdrop.
TF  71. When people debate an issue, I tend to stay neutral.
TF  72. Most of the time food tastes blah.
TF  73. When someone doesn't show up when they should I wait fifteen minutes then leave.
TF  74. Sometimes I find myself humming or whistling for no reason.
TF  75. I give more than two parties each year.
TF  76. It doesn't matter if the newspaper is not delivered.
TF  77. I like the comic section in the newspaper.
TF  78. I burn or blister easily.
TF  79. Some days my body hurts so much I can't work.
TF  80. The manners of some of my friends are a source of irritation.
TF  81. I sometimes buy clothes that don't fit me so that I'll be in style.
TF  82. I am the one who decides where we go on a vacation.
TF  83. I have someone that I call by a pet name.
TF  84. I have a first-aid kit.
TF  85. When someone talks during a movie I will tell them to be quiet.
TF  86. I have a chemical personal protection device or a gun.
TF  87. I am usually able to avoid arguments.
TF  88. I exercise regularly.
TF  89. I am one of the reasons they invented radar detectors.
TF  90. I sometimes say I don't want to go have fun when I really do.
TF  91. Success is over-rated.
TF  92. When someone gives me an unexpected gift I get suspicious.
TF  93. I have financial problems.
TF  94. I work until I'm exhausted when I don't need to do so.
TF  95. I tend to take on the world's problems.
TF  96. I put off visiting the dentist even if I'm in pain.
TF  97. I have some friends that are bad for my reputation.
TF  98. Everyone needs constructive criticism daily.
TF  99. I would want to know the gender of my child before birth.
TF 100. I would not want to vote in a murder trial.
TF 101. I have lost the thing I love the most.
TF 102. I know I give up too easily.
TF 103. I enjoy participating in water sports.
TF 104. I'm a gourmet regarding what I drink.
TF 105. It's fun to watch or listen to programs on history.
TF 106. I read at least three mystery novels each year.
TF 107. I am easily frightened.
TF 108. My job usually makes me really tired at the end of the day.
TF 109. Insults bother me more than they should.
TF 110. I worry about fatal diseases.
TF 111. Many times I sacrifice sleep for fun.
TF 112. I can get compliments when I want them.
TF 113. I'm not able to defend myself very well.
TF 114. I can handle unpleasant social situations.
TF 115. Other people don't spend as much time as I do reading warning labels on products.
TF 116. One benefit of working hard is that it prevents criticism.
TF 117. I have a safe place for my valuables.
TF 118. It really doesn't bother me if any of my tools get rusty.
TF 119. No one ever asks my opinion on where to eat.
TF 120. My failure rate has been increasing.
TF 121. I know I shouldn't loan things to people but I keep on doing it.
TF 122. I don't have any trouble remembering a good joke.
TF 123. My eating habits often give me indigestion.
TF 124. I get into too many arguments.
TF 125. I'd rather suffer than use a public restroom.
TF 126. I have trouble telling someone to go away when they are annoying me.
TF 127. Everybody likes me.
TF 128. If it says "Wet Paint" I'll probably touch it.
TF 129. If I had a lot of money I know just how I would spend it.
TF 130. I don't get depressed very often.
TF 131. When I don't get my way I usually pout.
TF 132. I really enjoy growing plants or flowers.
TF 133. I really prefer scented soap.
TF 134. A lot of my pride comes from doing my job well.
TF 135. My wardrobe would not be considered to be in style.
TF 136. It seems as if I am always taking some kind of pain medication.
TF 137. I can't keep up this pace much longer.
TF 138. A dirty fork at a restaurant is really disgusting.
TF 139. The opposite sex has a tougher time of it.
TF 140. I have more scars than most people.
TF 141. I'm good at card games.
TF 142. I usually have aspirin nearby.
TF 143. By being able to think on my feet I've gotten out of trouble.
TF 144. I avoid high crime rate areas.
TF 145. I know how to look busy.
TF 146. I wash and wax my car more often than most people.
TF 147. I have spare keys.
TF 148. When at an amusement park, I don't ride very many rides.
TF 149. People complain about my handwriting.
TF 150. I am a jealous person.
TF 151. Compliments are unnecessary in a solid relationship.
TF 152. I should give more thought to my actions because they frequently result in pain and problems for me.
TF 153. I have been arrested for something other than a traffic violation.
TF 154. I should do something about the odors in my house.
TF 155. A lot of people have a wrong impression of me.
TF 156. Preparing my own meals is a lot of fun.
TF 157. I take more than one trip for fun each year.
TF 158. Some of my fears are so intense they could be called phobias.
TF 159. I don't want to own a computer.
TF 160. I never put off things til tomorrow that ought to be done today.
TF 161. I would rather work for a salary than try to run my own business.
TF 162. I don't like a lot of choices on a menu.
TF 163. Some of my friends deserted me recently.
TF 164. Most people give up on a problem before I do.
TF 165. I'll stop what I'm doing to watch a gorgeous sunset.
TF 166. Flying is a lot of fun.
TF 167. The people important to me always remember my birthday.
TF 168. I like me a lot.
TF 169. I bruise easily.
TF 170. I have problems with diarrhea or constipation.
TF 171. I have a real fear of drowning.
TF 172. People use my full name more often than I like.
TF 173. I get a lot of invitations to parties.
TF 174. I save enough money for a vacation every year.
TF 175. My car has air conditioning.
TF 176. I could be a crisis counselor.
TF 177. I check my smoke detector frequently.
TF 178. People know not to interrupt me when I'm busy.
TF 179. I don't brush/floss often enough.
TF 180. I'm proud of the fact that I am punctual.
TF 181. When my world starts to get better I start worrying.
TF 182. People say that I am bashful.
TF 183. I misplace my keys a lot.
TF 184. I've lost several jobs for a variety of reasons.
TF 185. I have poor posture.
TF 186. I've made a lot of enemies through no fault of my own.
TF 187. I get a lot of help with doing the dishes.
TF 188. I put up with too many things about my job that I shouldn't.
TF 189. Sometimes I refuse help even when I really need it.
TF 190. I really should do something about my neighbor's pet or children.
TF 191. I tend to associate with people who aren't good for me.
TF 192. I wake up to a loud alarm clock.
TF 193. It is easy to hurt my feelings.
TF 194. I have lost my wallet more than once.
TF 195. I avoid responsibility.
TF 196. I always offer the last piece of pie to someone else.
TF 197. I can really keep a secret.
TF 198. We kiss each time we say good-bye.
TF 199. I've learned how to avoid some topics of discussion because they are just too painful.
TF 200. I never drink and drive.
TF 201. If someone makes a sexist or racist comment I usually speak up.
TF 202. I carry emergency money.
TF 203. I get no respect.
TF 204. To accomplish my goals I will often skip a meal.
TF 205. I spend too much time alone.
TF 206. Crowds turn me off.
TF 207. I'm afraid of fire for a good reason.
TF 208. I don't travel on airplanes.
TF 209. I don't find time to go to the theatre or plays.
TF 210. Someone compliments me daily.
TF 211. I go on nature hikes often.
TF 212. My pet provides me with a lot of pleasure.
TF 213. When I have to change my plans for the evening it infuriates me but I usually adjust easily.
TF 214. My self esteem has recently taken a beating.
TF 215. Choosing what to wear is always a problem.
TF 216. I am a meat and potatoes person.
TF 217. All my acquaintances are my friends.
TF 218. If someone offends me I let them know it right away.
TF 219. I endure more physical discomforts than I should.
TF 220. I often take my work home with me unnecessarily.
TF 221. I cause a lot of extra work for myself.
TF 222. I should throw away my credit cards.
TF 223. I tend to leave parties early.
TF 224. Although I'm older, I'm not wiser.
TF 225. Frequently I misplace the warranty card on things.
TF 226. I call to let people know even if I think I'm going to be late.
TF 227. I would kill someone in defense of my property.
TF 228. Sometimes I don't answer the phone or the door.
TF 229. I never seem to dress properly for the weather.
TF 230. I can't seem to quit feeling guilty.
TF 231. When someone plays music I don't like, I get it changed.
TF 232. My life would make a great adventure movie.
TF 233. I could never work in sales if I had to change jobs.
TF 234. It bothers me to be in a room that locks on the outside.
TF 235. I worry about nuclear war more than most people.
TF 236. I doubt that I'll ever have an ulcer. 
TF 237. My allergies interfere with my life.
TF 238. A lot of people would envy my success.
TF 239. I've had more great moments in my life than most people.
TF 240. I love to make people smile.
TF 241. The brand of cologne or perfume I wear is really not that important to me.
TF 242. When someone disappoints me it takes me a while to get over it.
TF 243. For seemingly no reason, I sometimes feel like crying.
TF 244. My life is too complicated.
TF 245. I have taken things apart just to see how they work.
TF 246. I've never told a "secret."
TF 247. I suffer silently.
TF 248. No one knows how tired I am at the end of the day.
TF 249. I tend to take the blame for others.
TF 250. I need to learn when to keep my mouth shut.
TF 251. When I got fired, it was my fault.
TF 252. When someone compliments me I say something to erase it.
TF 253. My friends have learned that I'll probably be late.
TF 254. I'd rather be loved than successful.
TF 255. I am never late with my insurance payments.
TF 256. People underestimate my age.
TF 257. I conquered a major fear.
TF 258. I wear gloves or eye protection when working on equipment.
TF 259. I don't put up with things that bother me.
TF 260. If possible, I sit by the emergency exit.
TF 261. Raises should be based on seniority rather than merit.
TF 262. I have a good collection of music.
TF 263. Public speaking really terrifies me.
TF 264. I'm uncomfortable when the boss is around.
TF 265. I don't like spiders or snakes.
TF 266. Asthma plays no role in my life.
TF 267. I go to art exhibits or museums at least once a year.
TF 268. I have at least three favorite television programs.
TF 269. A really good bath includes bubbles and bath oil.
TF 270. Music is almost a necessity for me.
TF 271. When I find out I can't afford something I want I probably didn't need it anyway.
TF 272. I wish I could get some of my old drive back.
TF 273. I don't mind breaking tie votes.
TF 274. If there is a new ride at the amusement park I'll probably be one of the last to ride it.
TF 275. I always look good.
TF 276. I feel trapped in my job or marriage.
TF 277. I should be able to stop some of my bad habits.
TF 278. I am quick to take offense at little things I shouldn't.
TF 279. To tell the truth, I am overweight.
TF 280. Frequently I turn around and go back to take care of something I forgot.
TF 281. Someone close to me says I tend to take them for granted.
TF 282. I have trouble finishing tasks that would bring me rewards.
TF 283. Material things lose their value even before I get them.
TF 284. I have both life insurance and disability insurance.
TF 285. A burglar would have trouble getting into my house.
TF 286. I avoid people with a "bad" reputation.
TF 287. I only have one pair of sun glasses.
TF 288. People know that I'm pretty good at settling disputes.
TF 289. I'll take an earlier dental appointment if offered.
TF 290. People who collect things are weird.
TF 291. I don't get a lot of fun out of life.
TF 292. When a stranger talks to me I get nervous.
TF 293. I'm familiar with anxiety attacks.
TF 294. Getting cut is a real concern of mine.
TF 295. I have too many headaches.
TF 296. Love stories are boring.
TF 297. I go fishing quite often.
TF 298. I am not a very good dancer.
TF 299. Sex plays an important role in my life.
TF 300. I have left a "date" in the middle of the evening.
TF 301. I often long for the good old days.
TF 302. I'm the type of person who says "Well, I'm going to do something, even if it's wrong."
TF 303. I am willing to try almost anything once.
TF 304. I really don't care what people say about me.
TF 305. I get into too many arguments.
TF 306. The threat of physical violence is one of my concerns.
TF 307. Some people are intimidated by me and that's alright with me.
TF 308. My self esteem could be greater.
TF 309. I frequently get a skin rash.
TF 310. I prefer crunchy peanut butter to smooth.


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This profile has been designed to provide information about your behavior, attitude, values, and/or skill based tendencies. By completing the questionnaire, you expressly agree that your results of this evaluation may be released to others. In consideration, you hereby release QM Systems, their agents, distributors, officers, employees, representatives, related or affiliated companies, and successors, and the company requesting you to complete this form from all liability, and any actions or causes of action of every kind, nature, and description arising out of, or incidental to your taking any of our assessments. Information in your report should not be used as the sole basis for consideration of selection for employment or job position. All questions are optional, you need not answer any question you do not wish including age, gender, or occupation.