Professional Documents
Culture Documents
1b
M.I Mo./Day/Yea
CLASS Last Name First Name GRADE & TEACHER-
. r
N o. SECTION IN-CHARGE
FULL NAME DATE
Instructions: Below is a list of statements dealing with your general feelings about yourself. If
you strongly agree, circle SA; if you agree with the statement, circle A; if you disagree, circle D;
and, if you strongly disagree, circle SD.
Scoring:
For questions 1, 3, 4, 7, and 10 score SA=3, A=2, D=1, and SD=0: SUM
For questions 2, 5, 6, 8, and 9 score SA=0, A=1, D=2, and SD=3: SUM
Total
Interpretation:
The scale ranges from 0-30. Scores between 15 and 25 are within average range; scores below 15
suggest low self-esteem.