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   All in all, I am inclined to feel that I am a failure.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
   
  2   I am able to do things as well as most other people.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
   
  3   I feel that I have a number of good qualities.
   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 I do not have much to be proud of.
   Strongly Disagree
   Disagree
   Agree
   Strongly agree
   
  7   Are you male or 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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