Phalanges Menari

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My Form

Name:
Course
Year of Study	1 2 3 4
Gender	Male Female
Marital status	Single Married Divorced
Race	Malay Chinese Indian Others
Do you have any physical, psychological, medical illness?	No Yes
Do you know a person(s) with a disability?	No Yes
Please rate your general knowledge of the conditions and life circumstances of persons with a disability:
Scale of Attitudes Towards Disabled People
1. Children who are disabled should not be provided with a free public education.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
2. Persons who are disabled are not more accident prone than are other people.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
3. Individuals who are disabled are not capable of making moral decisions.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
4. Persons who are disabled should be prevented from having children.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
5. Persons who are disabled should be allowed to live where and how they choose.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
6. Adequate housing for persons who are disabled is neither too expensive nor too difficult to build.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
7. Rehabilitation programs for persons who are disabled are too expensive to operate.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
8. Persons who are disabled are in many ways like children.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
9. Persons who are disabled need only the proper environment and opportunity to develop and express criminal tendencies.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
10. Adults who are disabled should be involuntarily committed to an institution following arrest.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
11. Most persons who are disabled are willing to work.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
12. Individuals who are disabled are able to adjust to life outside an institution.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
13. Adults who are disabled should not be prohibited from obtaining a driver’s license.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
14. Persons who are disabled should live with others who are similarly disabled.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
15. Zoning ordinances should not discriminate against persons who are disabled by prohibiting group homes in residential districts.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
16. The opportunity for gainful employment should be provided to persons who are disabled.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
17. Children who are disabled in regular classrooms have an adverse effect on other children.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
18. Simple repetitive work is appropriate for persons who are disabled.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
19. Persons who are disabled show a deviant personality profile.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
20. Equal employment opportunities should be available to individuals who are disabled	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
21. Laws to prevent employers from discriminating against persons who are disabled should be passed.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
22. Persons who are disabled engage in bizarre and deviant sexual activity.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
23. Workers who are disabled should receive at least the minimum wage established for their jobs.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
24. Individuals who are disabled can be expected to fit into our competitive society.	-3: I disagree very much -2: I disagree pretty much -1: I disagree a little +1: I agree a little +2: I agree pretty much +3: I agree very much
Interaction with Disabled Persons
1 It is rewarding when I am able to help	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
2 It hurts me when they want to do something and can’t	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
3 I feel frustrated because I don’t know how to help	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
4 Contact with a person with a disability reminds me of my own disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
5 I wonder how I would feel if I had this disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
6 I feel ignorant with people with a disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
7 I am grateful that I do not have such a burden	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
8 I try to act normally and ignore the disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
9 I feel uncomfortable and find it hard to relax	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
10 I am aware of the problems that people with disabilities face	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
11 I can’t help staring at them	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
12 I feel unsure because I don’t know how to behave	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
13 I admire their ability to cope	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
14 I don’t pity them	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
15 After frequent contact, I find I just notice the person not the disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
16 I feel overwhelmed with discomfort about my lack of disability	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
17 I am afraid to look at the person straight in the face	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
18 I tend to make contacts only brief and finish them as quickly as possible	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
19 I feel better with people with disabilities after I have discussed their disabilities with them	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much
20 I dread the thought that I could eventually end up like them	-3: I disagree very much -2: I disagree somewhat -1: I disagree a little +1: I agree a little +2: I agree somewhat +3: I agree very much

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