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Bold statements that are true. Italicize statements that are partly true. Give yourself 1 point for each bolded statement and half a point for each italicized one.
Appearance
I hate the way I look.
I cannot look in the mirror without thinking that I am ugly.
I think I am the ugliest of all my friends.
I don't think the opposite sex will ever be attracted to me.
If I had the money, I would get plastic surgery.
I would change at least 5 things about myself.
My friends/partner/family constantly tell me I'm beautiful, but I don't believe them.
I will not leave the house without make-up on.
Total: 6
Weight
I hate my body.
I wish I was thinner.
I'd rather be stick thin than a little chubby.
I am jealous of all the models I see in magazines.
I either have or do make myself throw up regularly.
I starve myself on a regular basis.
I track how many calories I eat, and get mad at myself when I go over the limit.
I have an eating disorder or am developing one.
Total: 2
Abilities
I am not good at anything.
I have no special talents or skills.
I don't apply for jobs because I know I will never get hired.
I suck(ed) at school and don't (didn't) bother trying.
I think I'm stupid.
My friends are all good at something, but I'm not.
I'd rather die than perform anything in front of a crowd.
I can't name anything good about myself.
I don't believe in myself.
Total: 4
Feelings
I am currently depressed.
I feel lonely and/or sad all the time.
I feel like nobody cares or understands me.
My crush doesn't even notice me.
I don't know why I am living.
I think about suicide seriously.
I get embarrassed easily.
I haven't been happy in long time.
Total: 2
Habits
I often lie in bed for hours, not being able to sleep.
I worry about things constantly.
I drink/do drugs to make myself feel better about my life.
I often hurt myself purposely.
I cry 4 or more times a week.
I can relate to every sad song out there.
I always have to do something to get my mind off things.
Total: 3
Total: 17
OVERALL TOTAL:
0 - 10: Your self esteem is great! - bullshit :)
11 - 20: Your self esteem is okay.
21 - 30: Your self esteem could use some work.
31 - 40: Your self esteem is really low. Seek help from family/friends if you feel down all the time.
Appearance
I hate the way I look.
I cannot look in the mirror without thinking that I am ugly.
I think I am the ugliest of all my friends.
I don't think the opposite sex will ever be attracted to me.
If I had the money, I would get plastic surgery.
I would change at least 5 things about myself.
My friends/partner/family constantly tell me I'm beautiful, but I don't believe them.
I will not leave the house without make-up on.
Total: 6
Weight
I hate my body.
I wish I was thinner.
I'd rather be stick thin than a little chubby.
I am jealous of all the models I see in magazines.
I either have or do make myself throw up regularly.
I starve myself on a regular basis.
I track how many calories I eat, and get mad at myself when I go over the limit.
I have an eating disorder or am developing one.
Total: 2
Abilities
I am not good at anything.
I have no special talents or skills.
I don't apply for jobs because I know I will never get hired.
I suck(ed) at school and don't (didn't) bother trying.
I think I'm stupid.
My friends are all good at something, but I'm not.
I'd rather die than perform anything in front of a crowd.
I can't name anything good about myself.
I don't believe in myself.
Total: 4
Feelings
I am currently depressed.
I feel lonely and/or sad all the time.
I feel like nobody cares or understands me.
My crush doesn't even notice me.
I don't know why I am living.
I think about suicide seriously.
I get embarrassed easily.
I haven't been happy in long time.
Total: 2
Habits
I often lie in bed for hours, not being able to sleep.
I worry about things constantly.
I drink/do drugs to make myself feel better about my life.
I often hurt myself purposely.
I cry 4 or more times a week.
I can relate to every sad song out there.
I always have to do something to get my mind off things.
Total: 3
Total: 17
OVERALL TOTAL:
0 - 10: Your self esteem is great! - bullshit :)
11 - 20: Your self esteem is okay.
21 - 30: Your self esteem could use some work.
31 - 40: Your self esteem is really low. Seek help from family/friends if you feel down all the time.