| | | | | | | | FIRO-B | | | | |
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Name | | | | | | | | | | | | |
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Directions: | | | | | | | | | | | | |
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1) | Please place the number of the answer that best applies to you in the space at the left | | | | | | | | | | | |
| of the statement. Please be as honest as you can. | | | | | | | | | | | |
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2) | | From No. 1-16, answer according to; | | | | | | | | | | |
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| 1) Usually | | 2) Often | | 3) Sometimes | | 4) Occasionally | | | 5) Rarely | | 6) Never |
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| S.N. | Question | Reply |
| 1 | I try to be with people | | | | | | | | | | |
| 2 | I let other people decide what to do | | | | | | | | | | |
| 3 | I join social groups | | | | | | | | | | |
| 4 | I try to have close relationships with people | | | | | | | | | | |
| 5 | I tend to join social organizations when I have an opportunity | | | | | | | | | | |
| 6 | I let other people strongly influence my actions | | | | | | | | | | |
| 7 | I try to be included in informal social activities | | | | | | | | | | |
| 8 | I try to have close personal relationships with people | | | | | | | | | | |
| 9 | I try to include other people in my plans | | | | | | | | | | |
| 10 | I let other people control my actions | | | | | | | | | | |
| 11 | I try to have people around me | | | | | | | | | | |
| 12 | I try to get close and personal with people | | | | | | | | | | |
| 13 | When people are doing things together, I tend to join them | | | | | | | | | | |
| 14 | I am easily led by the people | | | | | | | | | | |
| 15 | I try to avoid being alone | | | | | | | | | | |
| 16 | I try to participate in group activities. | | | | | | | | | | |
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3 | From No. 17-40, answer according to; | | | | | | | | | | | |
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| | 1) Most | | | 2) Many | | | 3) Some | 4) Few | 5) One or two | | 6) Nobody |
| | people | | | people | | | people | people | people | | |
| 17 | I try to be friendly with people | | | | | | | | | | |
| 18 | I let other people decide what I do | | | | | | | | | | |
| 19 | My personal relationships with people are cool and distant | | | | | | | | | | |
| 20 | I let other peole take charge of things | | | | | | | | | | |
| 21 | I try to have close relationships with people | | | | | | | | | | |
| 22 | I let other people strongly influence my acitons | | | | | | | | | | |
| 23 | I try to get close and personal with people | | | | | | | | | | |
| 24 | I let other people control my actions | | | | | | | | | | |
| 25 | I act cool and distant with people | | | | | | | | | | |
| 26 | I am easily led by people | | | | | | | | | | |
| 27 | I try to have close, personal relationships with people | | | | | | | | | | |
| 28 | I like people to invite me to do things | | | | | | | | | | |
| 29 | I like people to act close and perrsonal with me | | | | | | | | | | |
| 30 | I try to influence strongly the actions of other people | | | | | | | | | | |
| 31 | I like people to invite me to join in their activities | | | | | | | | | | |
| 32 | I like people to act close towards me | | | | | | | | | | |
| 33 | I try to take charge of things when I am with people | | | | | | | | | | |
| 34 | I like people to include me in their activities | | | | | | | | | | |
| 35 | I like people to act cool and distant towards me | | | | | | | | | | |
| 36 | I try to have other people do things the way I want them done | | | | | | | | | | |
| 37 | I like people to ask me to participate in their discussions | | | | | | | | | | |
| 38 | I like people to act friendly towards me | | | | | | | | | | |
| 39 | I like people to invite me to participate in their activities | | | | | | | | | | |
| 40 | I like people to act distant towards me | | | | | | | | | | |
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3 | From No. 41- 54, answer according to; | | | | | | | | | | | |
| | 1) Usually | | | 2) Often | | | 3) Sometimes | 4) Occasionally | | 5) Rarely | 6) Never |
| 41 | I try to be the dominant person when I am with people | | | | | | | | | | |
| 42 | I like people to invite me to do things | | | | | | | | | | |
| 43 | I like people to act close towards me | | | | | | | | | | |
| 44 | I try to have other people to do things I want done | | | | | | | | | | |
| 45 | I like people to invite me to join in their activities | | | | | | | | | | |
| 46 | I like people to act cool and distant towards me | | | | | | | | | | |
| 47 | I like to influence strongly other people's actions | | | | | | | | | | |
| 48 | I like people to include me in their activities | | | | | | | | | | |
| 49 | I like people to act close and personal with me | | | | | | | | | | |
| 50 | I try to take charge of things when I am with people | | | | | | | | | | |
| 51 | I like people to invite me to participate in their activities | | | | | | | | | | |
| 52 | I like people to act distant towards me | | | | | | | | | | |
| 53 | I try to have other people to do things the way I want them done | | | | | | | | | | |
| 54 | I take charge of things when I am with people | | | | | | | | | | |
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