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Questions marked with a * are required Exit Survey
 
 
* On the whole, I am satisfied with myself.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* At times I think I am no good at all
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I feel that I have a number of good qualities. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I am able to do things as well as most other people.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I feel I do not have much to be proud of. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I certainly feel useless at times. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I feel that I'm a person of worth, at least on an equal plane with others. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* I wish I could have more respect for myself.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
* All in all, I am inclined to feel that I am a failure. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
*  I take a positive attitude toward myself. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree