Participation in this study is anonymous and voluntary. You can choose to withdraw from this study at any time. The survey is designed to provide a person the extent to which being overloaded with tasks and responsibilities might be a source of stress. It further clarifies a person's natural tendencies toward tasks and relationships. For each of the following questions in the inventory, select (or circle) an answer that best describes your agreement or disagreement regarding each statement. Higher scores indicate stronger tendencies toward those elements.
For more information, contact: Dr. Bahaudin Mujtaba mujtaba@nova.edu 954.262.5045 1.800.672.7223 ext.25045
17 to 25 26 to 34 35 to 44 45 and above
Male Female
None 1 to 5 years 6 to 10 years 11 or more years
Buddhist Muslim Christian Jewish Other (specify)
Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cte D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island And Mcdonald Islands Holy See (vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Runion Romania Russian Federation Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre And Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province Of China Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zaire (congo, The Democratic Republic Of The) Zambia Zimbabwe
Earned a high school degree or less, Bachelors degree or working on earning it, Masters degree or working on earning it, Doctorate degree or working on earning it
Questions DisagreeAgree 1. I tell group members what they are supposed to do. 2. I set standard of performance for group members. 3. I make suggestions about how to solve problems 4. I make my vision and perspective clear to others. 5. I develop a plan of action for the group. 6. I define role responsibilities for each group member. 7. I clarify my own role within the group 8. I provide a plan for how the work is to be done. 9. I provide criteria for what is expected of the group. 10. I encourage group members to do high-quality work. Total Score for "A" Orientation:
Questions DisagreeAgree 11. I act friendly with members of the group. 12. I help others feel comfortable in the group. 13. I respond favorably to suggestions made by others. 14. I treat others fairly. 15. I behave in a predictable manner toward group members. 16. I communicate actively with group members. 17. I show concern for the well-being of others. 18. I show flexibility in making decisions. 19. I disclose thoughts and feelings to group members. 20. I help group members get along. Total Score for "B" Orientation:
Questions DisagreeAgree 21. I regularly take work home to finish in the evenings or weekends. 22. I have more work than it is possible to complete at a given time. 23. I have many important deadlines which I cannot always meet. 24. More often, I feel less competent on tasks than I think I should. 25. I do not always have enough time to do as good of job as I am capable of doing. 26. I am usually given more work than my current qualifications and skills. 27. Despite the fact that I am usually busy, I often fall behind schedule and deadlines. 28. Most of my tasks are usually too difficult and/or too complex to complete. 29. I have too many tasks and jobs needing done all at the same time. 30. There are many times that I feel overwhelmed by my tasks and assignments. Total Score for "C" Orientation: