Self Esteem Questionaire
Thanks for your interest in making an appointment with me. It will be my pleasure to help you achieve greater
well-being and peace of mind.

     

    Not at All

    Somewhat

    Moderately So

    Very Much So

    I feel love and cared for*

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    4

    I always get what I want in life*

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    4

    I am "calm, cool and collected"*

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    4

    I am affected by my past*

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    4

    I am affected deeply by disappointments and failure*

    1

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    4

    I am content*

    1

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    4

    I am happy in my relationships*

    1

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    4

    I am tense*

    1

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    3

    4

    I find it easy to express my emotions*

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    4

    I feel confident in my ability to cope with difficult situations*
    1234

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    I feel frightened*

    1

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    4

    I feel confused*

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    4

    I feel happy*

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    4

    I feel I am too emotional*

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    I feel that I learn from my mistakes and they make me stronger*

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    4

    I feel my family and friends value me*

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    4

    I feel like a failure*

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    I feel nervous and restless*

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    4

    I feel relaxed*

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    4

    I feel respected by the people closest to me*

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    I feel sad*

    1

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    4

    I feel satisfied with myself*

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    4

    I feel secure*

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    I feel I am essentially a good person*

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    I feel that I get pushed around more than others*/td>

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    I feel that difficulties are piling up so that I feel I cannot overcome them*

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    It is easy for me to let go of past wrongs*

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    4

    My life nurtures me*

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    4


    Thanks for your interesting in making an appointment with me. I will be my pleasure to help you achieve greater wellbeing and peace of mind.

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