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Below are directions and a few sample items of the Coopersmith Self-Esteem Inventory School and Adult Forms. Both online and paper reproduction licenses are available. Click on the Translations tab for available languages.

Items marked by * are required.

Directions for the School Form

 

You will find a list of statements about feelings on the next four pages. If a statement describes how you usually feel, select the button in the column “Like Me.” If a statement does not describe how you usually feel, select the button in the column “Unlike Me.” There are no right or wrong answers.

Items marked by * are required.
Things usually don’t bother me. 1 1
I find it very hard to talk in front of the class. 2 2
Items marked by * are required.

Directions for the Adult Form

 

You will find a list of statements about feelings on the next two pages. If a statement describes how you usually feel, select the button in the column “Like Me.” If a statement does not describe how you usually feel, select the button in the column “Unlike Me.” There are no right or wrong answers.

Items marked by * are required.
Things usually don’t bother me. 1 1
I find it very hard to talk in front of a group. 2 1
There are lots of things about myself I’d change if I could. 3 1
I can make up my mind without too much trouble. 4 1
I’m a lot of fun to be with. 5 1
Items marked by * are required.
Gender
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NOTE: Mind Garden can customize your online survey and reports administered through Transform.

 

Items marked by * are required.