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Name
Date
Addre
ss
Age
DIRECTION: Complete the sentences on items with starting phrases. To avoid consuming
much time in answering, it is recommended that you may answer things that came first
from your thoughts and feelings. There is no right or wrong for every answer. There is no
time limit in answering. Be sure to complete all items given.
V
S
1. My goal in life is
2. I can solve my problem even without the help of .
3. When I want to understand things around me, I
4. Expressing my thoughts to new acquaintances is
5. I need to learn it fast because
6. I often ask about
7. When giving a suggestion/recommendation
8. Listening to instructions once
9. Saying what I feel to others is
10. Doing things with instructional reference is
11. When I find myself lost in a place
12. My purpose of working is .
13. I will reach my goal even if
14. I want somebody to be with because
15. Browsing the net for the answer is
Areas
Total Scaled
Score
Category
MOT
IND
PED
COM
ABI
INT
Notes:
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