Questionnaire (Rosenberg)

Hello! Please click the button below to complete a short questionnaire. Doing this regularly is one way we can track how therapy is going. Your responses will be emailed directly to Dr Forzisi.

Below is a list of statements dealing with your general feelings about yourself. If you strongly agree, select SA. If you agree with the statement, select A. If you disagree, select D. If you strongly disagree, select SD.
Please select one answer for each question, then submit
1. On the whole, I am satisfied with myself. *
2.*At times, I think I am no good at all. *
3. I feel that I have a number of good qualities. *
4. I am able to do things as well as most other people. *
5.* I feel I do not have much to be proud of. *
6.* I certainly feel useless at times. *
7. I feel that I’m a person of worth, at least on an equal plane with others. *
8.* I wish I could have more respect for myself. *
9.* All in all, I am inclined to feel that I am a failure. *
10. I take a positive attitude toward myself. *