Attachment F
Risk Propensity Scale
Form Approved
OMB No. 0920-xxxx
Exp. Date xx/xx/20xx
Risk Propensity Scale
Please indicate the extent to which you agree or disagree with the following statement by putting a circle around the option you prefer. Please do not think too long before answering; usually your first inclination is also the best one.
1. Safety first.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
2. I do not take risks with my health.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
3. I prefer to avoid risks.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
4. I take risks regularly.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
5. I really dislike not knowing what is going to happen.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
6. I usually view risks as a challenge.
totally disagree 1 2 3 4 5 6 7 8 9 totally agree
7. I view myself as a . . .
Risk avoider 1 2 3 4 5 6 7 8 9 risk seeker
Public reporting burden of this collection of information is estimated to average 6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx).
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Foley, Tamekia (CDC/NIOSH/OD) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |