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Self Esteem Survey
This survey is for adults to complete on behalf of children.   

© Phil Builder 2003

Click here to see the child friendly version
Print this form to use it.  How do you think your children see themselves in different situations?   
First, circle the word that best describes how you think they feel (as a writer in the first instance), then as a computer user, skate boarder, or reader etc.   
Next, tick the continuum in a position to reflect the strength of their feelings as in the example.  The left side expresses more positive feelings than the right.
In the example below the child is reported to be an extremely cautious writer

 

Example:  Writer

 

confident

or

cautious

self assured

or

doubtful

certain

      

ü

uncertain

bold

or

shy

positive

or

negative

_________________________________________________________________
 

  Self Esteem Survey
 

 

Computer user

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Pet Carer

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Sports Player

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Fixer or Builder

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

 Climber

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

 

 

 

Nintendo/Game User

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Speller

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Talker

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Musician or Singer

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Writer

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Dad/Mum’s Helper

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Bike rider
or Skate boarder

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Reader

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Drawer
or Illustrator

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

     

 

 

 

 

Maths worker-outer

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

 

Friend

 

confident

 

 

cautious

self assured

 

 

doubtful

certain

 

 

uncertain

bold

 

 

shy

positive

 

 

negative

       

 

Look over the results.  You need to interpret your survey.   Would you say that, overall, your child is over-confident, confident, cautious, or really negative?  Or, is he/she quite variable in self esteem, depending upon the situation?  Have you discovered something about your child that you didn't know before?  I hope so.

Most people do vary according to their experience.  If they have had some success and their experience in that area has been positive, they will feel good about their abilities in that particular thing. 

To impact on your child's self esteem you need to help them experience success and give them feedback about themselves which reflects the effort they expend rather than measure the degrees of success or failure they experience.  You really want them to give themselves a 'pat on the back' for their success rather than rely on your approval for their success (or implied disapproval if the praise isn't forthcoming.)

Click here for the child friendly version