Name________________________________________________________Date ______________

 

 

PART ONE

 

 1. My definition of a positive attitude is:_______________________________________________

 

______________________________________________________________________________

 

 

2. What is your rating of your own positive attitude?

 

1          2          3          4          5          6          7          8          9            10 1=worst / 10=greatest

 

3. Does your attitude set the tone for the people you deal with?                      ______Yes_____No

 

 

4. Carefully circle the number on the right that represents your present situation.

 

1=all the time/daily               2=frequently              3=sometimes            4=rarely                     5=never

 

__I gossip about people at school.                                                                                               1 2 3 4 5

 

__I watch other people gossip about people.                                                                            1 2 3 4 5

 

__I am affected by or talk about bad weather.                                                                          1 2 3 4 5

 

__I am mad at someone for more than one hour.                                                                     1 2 3 4 5

 

__When something goes wrong, I blame others.                                                                      1 2 3 4 5

 

__When something goes wrong, I blame myself.                                                                      1 2 3 4 5

 

__I bring my home problems to school.                                                                                        1 2 3 4 5

 

__I talk about my problems at school or work.                                                                           1 2 3 4 5

 

__I take my school/work problems home.                                                                                   1 2 3 4 5

​

PART TWO

Notice the numeric values reverse in this part

 

 

1=never     2=rarely      3=sometimes        4=frequently      5=all the time

 

__I am an enthusiastic person.                                                                                                       1 2 3 4 5

 

__I am happy on the inside.                                                                                                             1 2 3 4 5

 

__I look for the good in things.                                                                                                       1 2 3 4 5

 

__I usually talk about the good things.                                                                                        1 2 3 4 5

 

__I say why I like things and people, not why I don’t.                                                              1 2 3 4 5

 

__I look for the opportunity when something bad happens.                                                1 2 3 4 5

 

__I forgive people who have hurt or offended me.                                                                    1 2 3 4 5

 

__If I have nothing nice to say, I say nothing.                                                                               1 2 3 4 5

 

__I encourage myself.                                                                                                                            1 2 3 4 5

 

__I use positive attitude language.  I avoid saying can’t and won’t.                                    1 2 3 4 5

 

__I have a positive self-image.                                                                                                             1 2 3 4 5

 

__I make choices that build my positive attitude.                                                                       1 2 3 4 5

 

__I help others without expectations or measuring.                                                                  1 2 3 4 5

 

__I am more motivated to help people than I am to make money.                                        1 2 3 4 5

 

__I often encourage others to succeed.                                                                                            1 2 3 4 5

 

__I am happy about myself and my life.                                                                                            1 2 3 4 5

 

__I work on my attitude every day.                                                                                                      1 2 3 4 5

 

__I ignore people who try to discourage me or tell me, “you can’t”.                                       1 2 3 4 5

 

__I count my blessings every day.                                                                                                          1 2 3 4 5

 

__I believe in myself.