Self Esteem Survey
Parent's Email Address
Survey for the Child Participant
Below is a list of statements dealing with your general feelings about yourself. Please indicate how strongly you agree or disagree with each statement.
Please answer these questions as honestly as possible. You will not be judged on your responses.
Overall, I am satisfied with myself.
At times I think I am no good at all.
I feel that I have a good number of qualities.
I am able to do things as well as most people.
I feel that I do not have much to be proud of.
I feel useless at times.
I feel I am a person of worth. I am equal to others.
I wish I could have more respect for myself.
Overall, I am inclined to feel like I am a failure.
I take a positive attitude towards myself.
Do you have any questions or comments?
Should be Empty: