Self-esteem and motivation survey Student InformationStudent Name* First Last Student Phone*Student Email* We would love to know more about you!On the whole, I am satisfied with myself.* Strongly Agree Agree Disagree Strongly Disagree I often think I am good enough.* 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 people.* Strongly Agree Agree Disagree Strongly Disagree I feel I have a lot to be proud of.* Strongly Agree Agree Disagree Strongly Disagree I often feel I am valuable.* Strongly Agree Agree Disagree Strongly Disagree I feel I am just as important as everyone else.* 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 feel that I can succeed.* Strongly Agree Agree Disagree Strongly Disagree I have a positive attitude toward myself.* Strongly Agree Agree Disagree Strongly Disagree Do you have student's last report card?*YesNoIf yes, please attach hereMax. file size: 50 MB.
