undefined

Self Regulation Questionnaire

Self-regulation is the ability to develop, implement, and flexibly maintain plannedbehavior in order to achieve one's goals. This questionnaire assess the self-regulation capacity.

8 minutes to complete

Eligibility

Any person of legal age is eligible to complete a Self Regulation Questionnaire. The questionnaire is designed to assess an individual's capacity for self-regulation in areas such as decision-making, goal setting, and impulse control. Age is not a barrier for completing the questionnaire, but an individual must be competent to do so.

undefined

Questions for Self Regulation Questionnaire

Questions

1.

 I usually keep track of my progress toward my goals.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
2.

My behavior is not that different from other people's.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
3.

Others tell me that I keep on with things too long.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
4.

I doubt I could change even if I wanted to.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
5.

I have trouble making up my mind about things.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
6.

I get easily distracted from my plans.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
7.

I reward myself for progress toward my goals.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
8.

I don't notice the effects of my actions until it's too late.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
9.

My behavior is similar to that of my friends.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
10.

It's hard for me to see anything helpful about changing my ways

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
11.

I am able to accomplish goals I set for myself.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
12.

I put off making decisions.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
13.

I have so many plans that it's hard for me to focus on any one of them

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
14.

I change the way I do things when I see a problem with how things are going.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
15.

It's hard for me to notice when I've “had enough” (alcohol, food, sweets).

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
16.

I think a lot about what other people think of me.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
17.

I am willing to consider other ways of doing things.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
18.

If I wanted to change, I am confident that I could do it.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
19.

When it comes to deciding about a change, I feel overwhelmed by the choices.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
20.

I have trouble following through with things once I've made upmy mind to do something.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
21.

I have trouble following through with things once I've made up my mind to do something.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
22.

I'm usually careful not to overdo it when working, eating, drinking.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
23.

I tend to compare myself with other people.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
24.

I enjoy a routine, and like things to stay the same.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
25.

I have sought out advice or information about changing.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
26.

I can come up with lots of ways to change, but it's hard for me to decide which one to use

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
27.

I can stick to a plan that's working well.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
28.

I usually only have to make a mistake one time in order to learn from it.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
29.

 I don't learn well from punishment.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
30.

I have personal standards, and try to live up to them.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
31.

I am set in my ways.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
32.

As soon as I see a problem or challenge, I start looking for possible solutions.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
33.

I have a hard time setting goals for myself

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
34.

I have a lot of willpower.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
35.

When I'm trying to change something, I pay a lot of attention to how I'm doing.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
36.

I usually judge what I'm doing by the consequences of my actions.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
37.

I don't care if I'm different from most people.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
38.

As soon as I see things aren't going right I want to do something about it.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
39.

There is usually more than one way to accomplish something.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
40.

I have trouble making plans to help me reach my goals.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
41.

I am able to resist temptation.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
42.

I set goals for myself and keep track of my progress.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
43.

Most of the time I don't pay attention to what I'm doing.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
44.

I try to be like people around me.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
45.

I tend to keep doing the same thing, even when it doesn't work.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
46.

I can usually find several different possibilities when I want to change something.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
47.

Once I have a goal, I can usually plan how to reach it.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
48.

 I have rules that I stick by no matter what.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
49.

If I make a resolution to change something, I pay a lot of attention to how I'm doing.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
50.

Often I don't notice what I'm doing until someone calls it to my attention.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
51.

I think a lot about how I'm doing.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
52.

Usually I see the need to change before others do.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
53.

I'm good at finding different ways to get what I want.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
54.

I usually think before I act.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
55.

Little problems or distractions throw me off course.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
56.

I feel bad when I don't meet my goals.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
57.

I learn from my mistakes.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
58.

I know how I want to be.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
59.

It bothers me when things aren't the way I want them.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
60.

I call in others for help when I need it.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
61.

Before making a decision, I consider what is likely to happen if I do one thing or another.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
62.

I give up quickly

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree
63.

I usually decide to change and hope for the best.

The answer should be a single choice:
  1. Strongly disagree
  2. Disagree
  3. Uncertain or Unsure
  4. Agree
  5. Strongly agree

Questionnaires Similar to Self Regulation Questionnaire

  • Internal Self-Regulation Questionnaire
  • Self-Regulatory Efficiency Questionnaire
  • Self-Regulation Questionnaire for Students
  • Self-Regulation Skills Questionnaire
  • Self-Regulation and Self-Esteem Questionnaire
  • Self-Regulatory Strategies Questionnaire

Here are some FAQs and additional information
on
Self Regulation Questionnaire

What is a self-regulation questionnaire?

A self-regulation questionnaire is a tool used to measure an individual's ability to regulate their own behaviour and emotions in response to different situations. It can help assess an individual's self-control, impulse control, ability to manage stress, and overall mental well-being.

What are the benefits of taking a self-regulation questionnaire?

Taking a self-regulation questionnaire can provide insight into how an individual is managing their emotions, behavior, and stress levels. It can also help identify areas where an individual might need to improve their self-regulation skills, such as their impulse control or ability to manage stress.

What is the difference between self-regulation and self-control?

Self-regulation is a broad term that refers to an individual's ability to manage their emotions, behavior, and stress levels. Self-control is a specific component of self-regulation and refers to an individual's ability to resist temptation and control their impulses.

Want to use this template?

Loved by people at home
and at work

undefined
“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
undefined
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
BlockSurvey social proof
G2 Crowd
4.8 Star Rating
BlockSurvey social proof
Dapp.com
Editor's choice
BlockSurvey social proof
Capterra
4.9 Star Rating

What's next? Try out templates like
Self Regulation Questionnaire

1000+ Templates, 50+ Categories

Want to create secure online forms and surveys?

Join BlockSurvey.

SHARE