Likert Scale Survey



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Level of Acceptability • 1 – Totally unacceptable • 2 – Unacceptable • 3 – Slightly unacceptable • 4 – Neutral • 5 – Slightly acceptable • 6 – Acceptable • 7 – Perfectly Acceptable Level of Appropriateness • 1 – Absolutely inappropriate • 2 – Inappropriate • 3 – Slightly inappropriate • 4 – Neutral • 5 – Slightly appropriate • 6 – Appropriate • 7 – Absolutely appropriate Level of Importance • 1 – Not at all important • 2 – Low importance • 3 – Slightly important • 4 – Neutral • 5 – Moderately important • 6 – Very important • 7 – Extremely important Level of Agreement • 1 – Strongly disagree • 2 – Disagree • 3 – Somewhat disagree • 4 – Neither agree or disagree • 5 – Somewhat agree • 6 – Agree • 7 – Strongly agree Knowledge of Action • 1 – Never true • 2 – Rarely true • 3 – Sometimes but infrequently true • 4 – Neutral • 5 – Sometimes true • 6 – Usually true • 7 – Always true Reflect Me • 1 – Very untrue of me • 2 – Untrue of me • 3 – Somewhat untrue of me • 4 – Neutral • 5 – Somewhat true of me • 6 – True of me • 7 – Very true of me My beliefs • 1 – Very untrue of what I believe • 2 – Untrue of what I believe • 3 – Somewhat untrue of what I believe • 4 – Neutral • 5 – Somewhat true of what I believe • 6 – True of what I believe • 7 – Very true of what I believe Priority: • • • • • • • 1 – Not a priority 2 – Low priority 3 – Somewhat priority 4 – Neutral 5 – Moderate Priority 6 – High priority 7 – Essential priority Level of Concern • 1 – not at all concerned • 2 – Slightly concerned • 3 – Somewhat concerned • 4 – Moderately concerned • 5 – Extremely concerned Priority Level • 1 – Not a priority • 2 – Low priority • 3 – Medium priority • 4 – High priority • 5 – Essential Level of Support/Opposition • 1 – Strongly oppose • 2 – Somewhat oppose • 3 – neutral • 4 – Somewhat favor • 5 – Strongly favor Level of Probability • 1 – Not probable • 2 – Somewhat improbable • 3 – Neutral • 4 – Somewhat probable • 5 – Very probable Level of Agreement • 1 – Strongly disagree • 2 –




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