The following questions are designed to assess your self-esteem. Please respond to each item by selecting the response option that seems most appropriate for you.
  1
  I am able to do things as well as most other people.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
 
 
  2
  All in all, I am inclined to feel that I am a failure.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
 
 
  3
  I feel I do not have much to be proud of.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
 
 
  4
  I feel that I'm a person of worth, at least on an equal plane with others.   
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
 
 
  5
  I feel that I have a number of good qualities.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
 
 
  7
  Are you male or female?  
--- Please select an option---
male
female
 
 
  6
  Which of the following emotions have you experienced within the last two hours?  
  (Please check as many options as are appropriate.)
   happy
   sad
   surprise
   fear
 
 
  6
  What is your age?
   years
 
 
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