MARSH Self Description Questionnaire (7-12 years) (Child

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OMB No: ???: Exp Date: ???

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elf-Description Questionnaire I

(MARSH I – ages 8-12)

Carefully read each sentence and choose an answer that best describes how you feel. Please begin now. Thank you.

	False	Mostly False	Sometimes False/Some-times True	Mostly True	True
I am good looking.	O	O	O	O	O
I’m good at all school subjects.	O	O	O	O	O
I can run fast.	O	O	O	O	O
My parents understand me.	O	O	O	O	O
I have lots of friends.	O	O	O	O	O
I like the way I look.	O	O	O	O	O
I enjoy doing work in all school subjects.	O	O	O	O	O
I like to run and play hard.	O	O	O	O	O
My parents are usually unhappy or disappointed with what I do.	O	O	O	O	O
I make friends easily.	O	O	O	O	O
I have a pleasant looking face.	O	O	O	O	O
I get good grades in all school subjects.	O	O	O	O	O
I hate sports and games.	O	O	O	O	O
I like my parents.	O	O	O	O	O
Most kids have more friends than I do.	O	O	O	O	O
I am a nice looking person.	O	O	O	O	O
I hate all school subjects.	O	O	O	O	O
I enjoy sports and games.	O	O	O	O	O
My parents like me.	O	O	O	O	O
I get along with kids easily.	O	O	O	O	O
I do lots of important things.	O	O	O	O	O
I am ugly.	O	O	O	O	O
I Public reporting burden of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Clearance Officer; 1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (???). learn things quickly in all school subjects.	O	O	O	O	O

	False	Mostly False	Sometimes False/Some-times True	Mostly True	True
I have good muscles.	O	O	O	O	O
If I have children of my own, I want to bring them up like my parents raised me.	O	O	O	O	O
I am easy to like.	O	O	O	O	O
Overall, I am no good.	O	O	O	O	O
Other kids think I am good looking.	O	O	O	O	O
I am interested in all school subjects.	O	O	O	O	O
I am good at sports.	O	O	O	O	O
My parents and I spend a lot of time together.	O	O	O	O	O
Other kids want me to be their friend.	O	O	O	O	O
In general, I like being the way I am.	O	O	O	O	O
I have a good looking body.	O	O	O	O	O
I am dumb in all school subjects.	O	O	O	O	O
I can run a long way without stopping.	O	O	O	O	O
My parents are easy to talk to.	O	O	O	O	O
I have more friends than most other kids.	O	O	O	O	O
Overall I have a lot to be proud of.	O	O	O	O	O
I’m better looking than most of my friends.	O	O	O	O	O
I look forward to all school subjects.	O	O	O	O	O
I am a good athlete.	O	O	O	O	O
I get along well with my parents.	O	O	O	O	O
I am popular with kids of my own age.	O	O	O	O	O
I can’t do anything right.	O	O	O	O	O
I have nice features like nose, and eyes, and hair.	O	O	O	O	O
Work in all school subjects is easy for me.	O	O	O	O	O
I’m good at throwing a ball.	O	O	O	O	O
My parents and I have a lot of fun together.	O	O	O	O	O
I can do things as well as most other people.	O	O	O	O	O
Most other kids like me.	O	O	O	O	O

	False	Mostly False	Sometimes False/Some-times True	Mostly True	True
Other people think I am a good person.	O	O	O	O	O
I like all school subjects.	O	O	O	O	O
A lot of things about me are good.	O	O	O	O	O
I’m as good as most other people.	O	O	O	O	O
When I do something, I do it well.	O	O	O	O	O

The End.

FOR STUDY USE ONLY
ID Number
Date Interviewed	Month Day Year	Interviewed by