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About

Uploaded by: Curated by Makerble

Here is a Self Esteem Questionnaire that you can answer for yourself to give you an idea, and act as a guide as to where your self esteem is at.

Number the questions (only when viewed internally)

Q1. I desperately want to change the way that I look (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I desperately want to change the way that I look

Q2. I find it difficult to accept who I am (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I find it difficult to accept who I am

Q3. I have REALLY high standards for myself and others (Perfectionist) (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I have REALLY high standards for myself and others (Perfectionist)

Q4. I Feel uncomfortable after eating sweets (single choice)

Question Settings ▼ ▲

Always Usually Often Sometimes Rarely Never

Dropdown List used: Eating Attitudes Test (EAT-26)

Q5. I am anxious and fearful a lot of the time (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I am anxious and fearful a lot of the time

Q6. I never try new things – I might make a mistake (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I never try new things – I might make a mistake

Q7. I focus on all of my mistakes – and minimise what I achieve (I feel like a failure) (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I focus on all of my mistakes – and minimise what I achieve (I feel like a failure)

Q8. I feel down all the time (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I feel down all the time

Q9. I frequently think negative thoughts about myself and others (single choice)

Question Settings ▼ ▲
Yes No Several days

Dropdown List used: I frequently think negative thoughts about myself and others

Q10. Do you feel pretty worthless the way you are now? (single choice)

Question Settings ▼ ▲

Yes No

Dropdown List used: yes- no

*Q11. Date the activity actually happened

*Q12. Your name (this will be attached to a person's response when the survey is completed anonymously)

Collect survey responses

360°
360°
Invite observers to answer a survey about a contact in your CRM. Send out invitations for several contacts at once via email, SMS or your own channels.

Collect Responses

Universal
Universal
Allow anyone with the link to submit a survey response.
Optionally generate a QR code.
Share Link

Tracked
Tracked
Track responses to individual contacts. Send survey invitations via email and SMS - with automated reminders - or your own communication channels.
Collect Responses

Anonymised
Anonymised
Hide the identity of each respondent when collecting responses from saved contacts or a list of email addresses.
Collect Responses

Import
Import
Upload survey responses from a spreadsheet with a row per respondent and column per question.
Import Responses

API
API
Send out survey invitations programmatically and/or receive responses via the API..
Get Started

Filled in by a Colleague: 1 contact at a time
Filled in by a Colleague: 1 contact at a time
Submit a survey response about a saved contact while filling in a survey in-person (CAPI), over the phone (CATI) or typing up a paper survey response.
Collect Response

Filled in by a Colleague: Several at once
Filled in by a Colleague: Several at once
Use the Answers Table to submit responses to each question. There’s one row per contact. Responses are automatically linked to individual contacts.
Enter Responses

Filled in by a Colleague: Manual Headcount
Filled in by a Colleague: Manual Headcount
Enter responses without the need for individual contacts or respondents. Enter the number of people who gave each answer to each question.
Enter Quantities

Universal Manual Headcount
Universal Manual Headcount
Collect manual headcount responses from anyone with the link.

Share Link

Multi-stage
Multi-stage
Collect demographic data. Thread several surveys together. Deliver advanced survey experiences.
Go to Signup Pages

Branded Portal
Branded Portal
Provide respondents with a password-protected space to submit, review, discuss or act upon survey responses.
Get Started

Automation
Automation
Automatically send out survey invitations whenever certain rules are met
Create an automation

360° Assessment
360° Assessment
Get a rounded view of each contact by combining their self-reflections (Tracked), perspectives from people who know them (Observers) and your colleagues' professional opinions (Filled in by a Colleague). Send invitations for several contacts at once by email, SMS or your own channels.

X
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Step 2: When will this adjustment be applied?

Step 3: Who does this adjustment apply to?

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