Free Self Esteem Checklist, compliments of Reach and Achieve

Self-Esteem Assessment Form ivy vine

Self confidence is an important ingredient to our success in business and in life. You will find that these statements reflect important information regarding how you feel about yourself. If you have questions about this form feel free to contact me.

Check the items that apply to you.
*Statements Reflecting* *High Personal Regard*		*Statements Reflecting* *Low Personal Regard*
Achievement and Accomplishment
	I am usually happy		I am often unhappy
	I expect to succeed in performing important task		I expect to fail in performing important task
	I am as important as most people		I am less important then most people
	I would not change many things about myself		I would change many things About myself
	I have self-confidence		I am lacking self-confidence
	It is easy to express my feelings		It is difficult to express my feelings
	I am successful as most people		I am less successful then most people
	It is easy to meet new people		It is difficult to meet new people
	I often take the initiative		I am lacking in initiative
	I am as intelligent as most people		I am less intelligent then most people

Being Valued and Valuing Others
	I have several friends		I have only a few friends
	I often spend free time in the company of others		I spend most of my free time alone
	Most people I know like me		Most people I know don't like me
	I am not easily depressed		I am easily depressed
	I am as nice looking as most		I am not as nice looking as most
	I am usually relaxed and at ease with myself		I am usually tense or anxious
	My feelings are not easily hurt		My feelings are easily hurt
	I rarely feel uneasy without knowing why		I often feel uneasy without knowing why
	I rarely if ever feel ashamed		I often feel ashamed
	I am not often upset		I am often upset
	I am as sensitive as most		I am more sensitive then most
	I do not worry a lot		I worry a lot
	I enjoy receiving compliments		I feel uneasy receiving compliments
	I enjoy complimenting others on their accomplishments		I rarely compliment others

Acting on Beliefs (Commitment to Values)
	People generally like my ideas		People won't like my ideas
	Most people respect my views		Most people don't respect my views
	It is easy to express my views and opinions		It is difficult to express my views and opinions
	I have a clear idea of what values are important to me to me		I don't really know what values are important
	I am willing to express my opinion even if I know it is unpopular		I keep quiet if I know my opinion is unpopular

Reset Form

If your total for an area on the left is high with respect to the area on the right, this area represents one of your personal strengths. Emphasize and build upon these strengths.

If your total for an area on the left is low with respect to the area on the right, then this is an area that you may want to focus on.

Learn to be a more confident individual. Call now for a free introductory coaching session.

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nikki@georgetech.com