The State of Life Satisfaction: Philippines

I. SOCIO DEMOGRAPHIC PROFILE:

Respondent’s Name (Optional): _____________________________________________________________

Age: ________ Gender: M/F______ Marital Status: Single/Married/Widower/Separated
Occupation: __________________________________ Education Level: __________________________
Household Income: ____________________________ Religion: __________________________________

Please take a moment to think about what makes your life and existence feel important and
significant to you. Please respond to the following statements as truthfully and accurately as you
can, and also please remember that these are very subjective questions and that there are no right
or wrong answers. Please answer according to the scale below:

0 – Absolute untrue
1 – Somewhat untrue
2 – Can’t say true or false
3 – Somewhat true
4 – Absolute true.

II. MATERIAL VALUE SCALE

I admire people who own expensive homes, cars, and

1 0 1 2 3 4
clothes.
Some of the most important achievements in life include
2 0 1 2 3 4
acquiring material possessions.
I don’t place much emphasis on the amount of material
3 0 1 2 3 4
objects people own as a sign of success.
4 The things I own say a lot about how well I’m doing in life. 0 1 2 3 4
5 I like to own things that impress people. 0 1 2 3 4
I don’t pay much attention to the material objects other
6 0 1 2 3 4
people own.
7 I usually buy only the things I need. 0 1 2 3 4
I try to keep my life simple, as far as possessions are
8 0 1 2 3 4
concerned.
9 The things I own aren’t all that important to me. 0 1 2 3 4
10 I enjoy spending money on things that aren’t practical. 0 1 2 3 4
11 Buying things gives me a lot of pleasure. 0 1 2 3 4
12 I like a lot of luxury in my life. 0 1 2 3 4
I put less emphasis on material things than most people I
13 0 1 2 3 4
know.
14 I have all the things I really need to enjoy life. 0 1 2 3 4
My life would be better if I owned certain things I don’t
15 0 1 2 3 4
have.
16 I wouldn’t be any happier if I owned nicer things. 0 1 2 3 4
17 I’d be happier if I could afford to buy more things. 0 1 2 3 4
It sometimes bothers me quite a bit that I can’t afford to
18 0 1 2 3 4
buy all the things I’d like.
III. SELF ASSESSMENT

1 I’ve been feeling optimistic about the future. 0 1 2 3 4

2 I’ve been feeling useful. 0 1 2 3 4
3 I’ve been feeling relaxed. 0 1 2 3 4
4 I’ve been feeling interested in other people. 0 1 2 3 4
5 I’ve had energy to spare. 0 1 2 3 4
6 I’ve been dealing with problems well. 0 1 2 3 4
7 I’ve been thinking clearly. 0 1 2 3 4
8 I’ve been feeling good about myself. 0 1 2 3 4
9 I’ve been feeling close to other people. 0 1 2 3 4
10 I’ve been feeling confident 0 1 2 3 4
11 I’ve been able to make up my own mind about things. 0 1 2 3 4
12 I’ve been feeling loved. 0 1 2 3 4
13 I’ve been interested in new things. 0 1 2 3 4
14 I’ve been feeling cheerful 0 1 2 3 4

IV. PERSONAL GROWTH INITIATIVE SCALES

I know how to change specific things that I want to

1 0 1 2 3 4
change in my life.
2 I have a good sense of where I am headed in my life. 0 1 2 3 4
If I want to change something in my life, I initiate the
3 0 1 2 3 4
transition process.
4 I can choose the role that I want to have in a group. 0 1 2 3 4
I know what I need to do to get started toward reaching
5 0 1 2 3 4
my goals.
6 I have a specific action plan to help me reach my goal. 0 1 2 3 4
7 I take charge of my life. 0 1 2 3 4
I know what my unique contribution to the world might
8 0 1 2 3 4
be. .
9 I have a plan for making my life more balanced. 0 1 2 3 4
10 I’ve been feeling confident 0 1 2 3 4
11 I’ve been able to make up my own mind about things. 0 1 2 3 4
12 I’ve been feeling loved. 0 1 2 3 4
13 I’ve been interested in new things. 0 1 2 3 4
14 I’ve been feeling cheerful 0 1 2 3 4

_______________________________________________

Signature above printed name

Date: ____________________