How I Feel (CD version)
Name:______Date:______
For each item, tell us what is true for you. Use this scale to answer each item:
1 = rarely or never
2 = a little of the time
3 = some of the time
4 = a good part of the time
5 = most or all of the time
- ____ I am sad.
- ____ I have bad luck.
- ____ I do things wrong.
- ____ I have fun.
- ____ I am bad.
- ____ I worry about bad things happening.
- ____ I like myself.
- ____ Bad things that happen are my fault.
- ____ I think about hurting myself.
- ____ I feel like crying.
- ____ Things bother me.
- ____ I like being with other people.
- ____ I can’t make up my mind
- ____ I like the way I look
- ____ I have a hard time getting schoolwork done.
- ____ I have trouble sleeping.
- ____ I am tired.
- ____ I don’t like to eat.
- ____ My head and stomach hurt.
- ____ I feel alone.
- ____ I have fun at school.
- ____ I have friends.
- ____ My schoolwork is ok.
- ____ I am not as good as other kids.
- ____ I think nobody loves me.
- ____ I don’t do what I’m told.
- ____ I get into fights with people.
HOW I FEEL (ISE version)
Name:______Date:______
For each item, tell us what is true for you. Use this scale to answer each item:
1 = rarely or never
2 = a little of the time
3 = some of the time
4 = a good part of the time
5 = most or all of the time
- ____ Other people don’t like me
- ____ Other kids have more friends than I do.
- ____ I like myself.
- ____ Other kids like to play with me.
- ____ Other people like to talk to me.
- ____ I am good at things I try to do.
- ____ Other people think I am good.
- ____ I am afraid to try to do new things.
- ____ I am afraid to meet new people.
- ____ I am boring.
- ____ I am ugly.
- ____ Other people have more fun than I do.
- ____ Other people think I am boring.
- ____ My friends think I am fun to be with.
- ____ I am funny.
- ____ I feel stupid when I meet new people.
- ____ I wish I were more like other people.
- ____ Other people like to play with me.
- ____ I am shy.
- ____ Other people are mean to me.
- ____ I am nice.
- ____ Other people like me.
- ____ I like myself.
- ____ I am afraid that other people think I am stupid.
- ____ My friends think I am good.
ALL ABOUT ME
Name:______Date:______
Pick one word from each group that you think describes you.
____ NiceOR____ Mean
____ GoodOR____ Bad
____ FunOR____ Boring
____ SmartOR____ Stupid
____ RightOR____ Wrong
____ Pretty/HandsomeOR____ Ugly
____ FunnyOR____ Not funny
____ HappyOR____ Sad
____ Not angryOR____ Angry
____ Not worriedOR____ Worried
____ BraveOR____ Scared
____ ExcitedOR____ Bored
____ BusyOR____ Lazy
____ RestedOR____ Tired
____ LovedOR____ Unloved
____ LuckyOR____ Unlucky
____ FriendlyOR____ Shy
____ Follow rulesOR____ Troublemaker
____ HealthyOR____ Sick
____ PoliteOR____ Rude
____ SharingOR____ Selfish
Check all of the things that you are good at doing.
____ Math
____ Reading
____ Writing
____ Spelling
____ Other schoolwork
____ Making friends
____ Playing ball
____ Swimming
____ Running
____ Other sports
____ Drawing
____ Coloring or painting
____ Singing
____ Puzzles
____ Playing video games
____ Playing other games
____ Dancing
____ Cooking
____ Dressing myself nice
____ Doing my makeup
____ Doing my hair
____ Eating
____ Keeping my room clean
____ Doing other chores
____ Helping other people
____ Talking with grownups