Your Sex (check one): ____ Male ____ Female Form 20

What is your age?: ____

INSTRUCTIONS: This instrument is designed to measure your feelings, beliefs and behaviors concerning your interactions with others. It is not a test, so there are no right or wrong answers. Please answer the questions as honestly as possible. Using the scale below, indicate your level of agreement or disagreement in the space which is next to each statement.

1 2 3 4 5

Strongly Disagree Undecided Agree Strongly

Disagree Agree

___ 1. Helping others is usually a waste of time.

___ 2. When given the opportunity, I enjoy aiding others who are in

need.

___ 3. If possible, I would return lost money to the rightful owner.

___ 4. Helping friends and family is one of the great joys in life.

___ 5. I would avoid aiding someone in a medical emergency if I

could.

___ 6. It feels wonderful to assist others in need.

___ 7. Volunteering to help someone is very rewarding.

___ 8. I dislike giving directions to strangers who are lost.

___ 9. Doing volunteer work makes me feel happy.

___10. I donate time or money to charities every month.

___11. Unless they are part of my family, helping the elderly isn’t

my responsibility.

___12. Children should be taught about the importance of helping

others.

___13. I plan to donate my organs when I die with the hope that they

will help someone else live.

___14. I try to offer my help with any activities my community or

school groups are carrying out.

___15. I feel at peace with myself when I have helped others.

___16. If the person in front of me in the check-out line at a store

was a few cents short, I would pay the difference.

___17. I feel proud when I know that my generosity has benefited a

needy person.

___18. Helping people does more harm than good because they come

to rely on others and not themselves.

___19. I rarely contribute money to a worthy cause.

___20. Giving aid to the poor is the right thing to do.