THE MODIFIED ERIKSON PSYCHOSOCIAL STAGE INVENTORY (MEPSI) We would like to know a little about you and how you view your situation. Here are some thoughts that most people have about themselves at one time or another. Please read each sentence and CIRCLE the number, on the scaie of 1 (HARDLY EVER TRUE) to 5 (ALMOST ALWAYS TRUE), which shows how often the sentence is true of you. Don't spend a lot of time thinking about your response. There are no right or wrong answers. Please do not omit any answers. HARDLY OCCA. ABOUT USUALLY ALMOST How often is this true of you? | EVER SION HALF TRUE ALWAYS TRUE ALLY THE TRUE TRUE = TIME 1. Lam able to take things as thay come.. 1 2 3 4 5 2, I'ma hard worker.. 2 3 4 5 3. J get embarrassed when someone begins to tell me personal things. 2 3 4 5 4, I'm warm and friendly.. 2 3 4 5 5. | really believe in myset. 2 3 4 5 6. I change my opinion of myself a fot 2 3 4 5 7. Ilike to assume responsibility for thing: 2 3 4 5 8. I've got a clear idea of what | 2 3 4 5 9. 2 3 4 5 10. | find the world a very confusing place. 2 3 4 5 11. [feel guilty about many things.. 2 3 4 5 12. I know when to please myself and when to please others. 2 3 4 5 13. The important things in life are clear to me. 2 3 4 5 14. I don't seem to be able to achieve my ambitions..HARDLY OCCA- ABOUT USUALLY ALMOST How often Is this true of you? | EVER SION HALF TRUE ALWAYS TRUE ALLY THE TRUE TRUE TIME 15. I don't seem to have the ability that most others have. 2 3 4 5 16. I've got it together... 2 3 4 5 47. (know what kind of person | am.. 2 3 4 5 18. | worry about losing control of my feelings... 2 3 4 5 19. As | look over my life, | feel the need to make up for lost time. 1 2 3 4 5 20. | feel that | have the wisdom and experience to be of help to others... 2 3 4 5 21. fee! that | have left my mark on the world through my children/work... 2 3 4 5 22. Irely on other people to give me ideas. 1 2 3 4 5 23. | think | must be basically bad. 2 3 4 5 24, Other people understand me... 2 3 4 5 25. 1 can't decide what I want to do with my life. 2 3 4 5 26. It's important to me to be completely ‘open with my friends. 2 3 4 5 27. L spend a great deal of time thinking about myselt 1 2 3 4 5 28. | find that good things never last tong. 2 3 4 5 29, | feel | am a useful person to have around. 1 2 3 4 5 30. | keep what I really think and feel to myselt.. 2 3 4 5HARDLY EVER TRUE OCCA- ABOUT USUALLY ALMOST How often Is this true of you? 3 32. 33. 34, 35. 37. 39. 40. 4. 42, 43. 45. . | have many regrets about what | might have become... I'm an energetic person who does {ots of things.. I'm trying hard to achieve my goals... ‘Things and people usually turn out well for me. 1am afraid of growing old . I think the world and people in it are basically good. 1am ashamed of mysel. I'm good at my work. I think it's crazy to get too involved with people.. People try to take advantage of me... like myself and am proud of what | stand for. Ihave a sense that there is purpose in my ite. : | feel inadequate in my interactions with others. I find myself expecting the worst to happen. I care deeply for others... 46. My achievements and failures are largely a consequence of my own actions. SION HALF TRUE ALWAYS: ALLY THE TRUE TRUE TIME 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 5 2 3 4 547. 49. HARDLY OCCA- How often is this true of you? find | have to keep up a front when tm with people. . Idon't really feel involved.. Icant make sense of my life. 50. It is important to me to feel that | 51. 52. 53. 55, 57. 8 8 60. 61. . | cope very well have made a contribution in lif There's a lot about my life I'm sorry about. J waste a lot of my time. I'm as good as other people. Like to make my own choices. (am disgusted by other people. Heel at peace with my life I don't feel confident of my judgement. 1 'm basically a lone have difficulty relating to people different from me.. I'm not much good at things that need brains or skil 62, Ihave (have had) a clase physical and emotional relationship with another person. 63. | have discovered 70 mission or purpose in ife... EVER TRUE SION ALLY TRUE ABOUT USUALLY ALMOST HALF THE TIME eo © TRUE ALWAYS: TRUE64, 65. | 67. 68. 69. 70. 1. 72. 73. 74, 75. 7. 78. 79. 80. HARDLY OCCA- ABOUT USUALLY ALMOST TRUE How often is this true of you? | EVER TRUE | stick with things until they're finished. I'm a follower rather than a leader... {find it hard to make up my mind. Itrust people... like to take risks... I worry about how others perceive me. 1 itis more important to work on behalf of those I care about than to work just for mysett.. like new adventures, | prefer not to show too much of myself to othe If [could live my life over, there is little | would change... {don't get things finished, ike finding out about new things or places I don't get much done. ind it easy to make close friends. I can't make up my own mind about things. As | look back over my life, | realize my parents did the best they could for me.. | am proud of what | have accomplished in my iif SION ALLY TRUE HALF THE TIME o 8 © w ALWAYS TRUE