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Informal Child & Adolescent Self-Esteem Checklist (print to use) The following checklist does not have a scoring key. These are all important dimensions of self-esteem that should be discussed with a counselor or psychologist. Put an “X” in the appropriate box: |
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Symptom |
None |
Just a little |
Pretty much |
Very much |
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Child says he or she is “dumb” or “stupid” |
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Child gives up easily |
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Child is failing or doing poorly in school |
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Child gets picked on or teased frequently by peers |
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Child doesn’t like his or her physical appearance |
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Child cries easily over minor provocation |
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Child “hates” school or certain subjects |
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Child does not respond normally to adult encouragement |
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Chronic low self-esteem is toxic to successful development and should be treated. Any marks of Pretty Much or Very Much may be serious problems and should be evaluated professionally. |
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