Teen Pre-Internship Survey

  • Teen Pre-Internship Survey

    Instructions: This survey is to be completed by the teen, NOT by their parent/guardian. Choose whichever answer seems best for how you’ve felt in the last seven days.
  • Date*
     - -

  • Rosenberg Self-Esteem Scale

  • 1. On the whole, I am satisfied with myself.*
  • 2. At times I think I am no good at all.*
  • 3. I feel that I have a number of good qualities.*
  • 4. I am able to do things as well as most other people.*
  • 5. I feel I do not have much to be proud of.*
  • 6. I certainly feel useless at times.*
  • 7. I feel that I'm a person of worth, at least on an equal plane with others.*
  • 8. I wish I could have more respect for myself.*
  • 9. All in all, I am inclined to feel that I am a failure*
  • 10. I take a positive attitude toward myself.*

  • PROMIS SF 8a- Anxiety

  • I felt fearful.*
  • I found it hard to focus on anything other than my anxiety.*
  • My worries overwhelm me.*
  • I felt uneasy.*
  • I felt nervous.*
  • I felt like I needed help for my anxiety.*
  • I felt anxious.*
  • I felt tense*

  • PROMIS SF 4a- Meaning and Purpose

  • I feel hopeful about my future.*
  • I can reach my goals in life.*
  • My life is filled with meaning*
  • My life has purpose*

  • PROMIS SF 8a- Positive Affect

  • I felt happy.*
  • I felt great.*
  • I felt cheerful.*
  • I felt joyful.*
  • I was in a good mood.*
  • I felt refreshed.*
  • I felt calm.*
  • I felt peaceful*
  • Should be Empty: