Group Climate Questionnaire

Instructions - Below is a series of statements, each beginning "With this group I ..." Use the five-point scale provided below to indicate how you feel about each statement. Put an X in the space that most closely represents your response.

      R - Rarely - means from 0 - 15% of the time
      S - Sometimes - means from 16 - 35% of the time
      F - Frequently - means from 36 - 65% of the time
      G - Generally - means from 66 - 85% of the time
      A - Almost Always - means from 86 - 100% of the time

Please report your immediate feelings rather than spending a great deal of time considering each item. There are no right or wrong answers. What is important is that you indicate honestly how you feel. DO NOT sign your name to this form.

With this group I ....

1) can express warm feeings R S P G A
2) can express feelings of anger R S P G A
3) shut out ideas different from mine R S P G A
4) enjoy letting others know me R S P G A
5) worry about my goofs R S P G A
6) feel comfortable R S P G A
7) recognize and can let others know my feelings R S P G A
8) attempt to relate only to a few members of the group R S P G A
9) put on a fals front R S P G A
10) am aware of other's feelings about themselves R S P G A
11) am aware of how others see me R S P G A
12) feel that others ignore me R S P G A
13) feel that others care about me R S P G A
14) feel that others do not listen to me R S P G A
15) feel nervous R S P G A
16) feel that others tear me down R S P G A
17) feel that others make fun of me when I make a mistake R S P G A
18) feel that others like me R S P G A
19) feel that others do not see me as I am R S P G A
20) feel that others are cold R S P G A
21) feel that others are insincere R S P G A
22) feel that others are trustworthy R S P G A
23) feel that others are impatient R S P G A