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Als Self Esteem Survey Questionnaire

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SURVEY QUESTIONNAIRES

Dear Respondent:

We are Grade 12-Passionate (Alternative Learning System) Group 1, students in Jose


Panganiban National High School. We are currently conducting a research study entitled “LEVEL OF
SELF-ESTEEM OF GRADE 11 ALS STUDENTS IN JOSE PANGANIBAN NATIONAL HIGH
SCHOOL” as part of the requirements in Inquiries, Investigation, and Immersion As one of the
tricycle drivers in Jose Panganiban, you were chosen as respondent. Your answers to the
questionnaire will serve as valid sources of information for the realization of this study. Rest assured
that your responses will be treated with utmost confidentiality.

Thank you very much.

PART I- STATE SELF-ESTEEM SCALE

Description of Measure:
A 20-item scale that measures a participant’s self-esteem at a given point in time. The 20
items are subdivided into 3 components of self-esteem: (1) performance self-esteem, social self-
esteem, and appearance self-esteem. All items are answered using a 5-point scale (1= not at all, 2=
a little bit, 3= somewhat, 4= very much, 5= extremely).

This is a questionnaire designed to measure what you are thinking at this moment. There is of
course, no right answer for any statement. The best answer is what you feel is true of yourself now.
Be sure to answer all the items, even if you are not certain of the best answer. Again, answer these
questions as they are true for you RIGHT NOW.

5- Extremely 2- A Little Bit


4- Very Much 1- Not at All
3- Somewhat

4 2 1
5 3
Very A Not
1.1 STATE OF SELF ESTEEM Extremel Somewha
Muc Little at
y t
h Bit All
1. I feel confident about my abilities.
2. I am worried about whether I am
regarded as a success or failure.
3. I feel satisfied with the way my body
looks right now.
4. I feel frustrated or rattled about my
performance.
5. I feel that I am having trouble
understanding things that I read.
6. I feel that others respect and admire me.
7. I am dissatisfied with my weight.
8. I feel self-conscious.
9. I feel as smart as others.
10. I feel displeased with myself.
11. I feel good about myself.
12. I am pleased with my appearance right
now.
13. I am worried about what other people
think of me.
14. I feel confident that I understand things.
15. I feel inferior to others at this moment.
16. I feel unattractive.
17. I feel concerned about the impression I
am making.
18. I feel that I have less scholastic ability
right now than others.
19. I feel like I'm not doing well.
20. I am worried about looking foolish.

Adopted from: Self Report Measures for Love and Compassion Research: Self-Esteem
Heatherton, T. F. & Polivy, J. (1991). Development and validation of a scale for measuring state selfesteem. Journal of
Personality and Social Psychology, 60, 895-910.

Scoring: Items 2, 4, 5, 7, 8, 10, 13, 15, 16, 17, 18, 19, 20 are reverse scored.
Sum scores from all items and keep scale as a continuous measure of state self-esteem.
The subcomponents are scored as follows:

Performance Self-esteem items: 1, 4, 5, 9, 14, 18, 19.

Social Self-esteem items: 2, 8, 10, 13, 15, 17, 20.

Appearance Self-esteem items: 3, 6, 7, 11, 12, 16.

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