MARSH Self Description Questionnaire (13-15 years)

OMB No: ???: Exp Date: ??? _____________________ SELF DESCRIPTION QUESTIONNAIRE II (MARSH II – ages 13-15)

This is a chance to look at yourself. It is not a test. There are no right answers, and everyone will have different answers. Be sure that your answers show how you feel about yourself. PLEASE DO NOT TALK ABOUT YOUR ANSWERS WITH ANYONE ELSE. We will keep your answers private and not show them to anyone.

When you are ready to begin, please read each sentence and choose an answer. There are six possible answers for each question - “True,” “False,” and four answers in between. There are six circles next to each sentence, one for each of the answers. The answers are written at the top of the circles. Choose your answer to a sentence and fill in the circle under the answer you choose. DO NOT say your answer out loud or talk about it with anyone else. Please begin now. Thank you.

	False	Mostly False	More False Than True	More True Than False	Mostly True	True
1. Nobody thinks that I am good looking.	O	O	O	O	O	O
2. Overall, I have a lot to be proud of.	O	O	O	O	O	O
3. I enjoy things like sports, gym, and dance.	O	O	O	O	O	O
4. My parents are usually unhappy or disappointed with what I do.	O	O	O	O	O	O
5. People come to me for help in most school subjects.	O	O	O	O	O	O
6. It is difficult to make friends with members of my own sex.	O	O	O	O	O	O
7. People of the opposite sex whom I like, don’t like me.	O	O	O	O	O	O

Public reporting burden of this collection of information is estimated to average 20 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 (???).

	False	Mostly False	More False Than True	More True Than False	Mostly True	True
8. I have a nice looking face.	O	O	O	O	O	O
9. Overall, I am no good.	O	O	O	O	O	O
10. I am lazy when it comes to things like sports and hard physical exercise.	O	O	O	O	O	O
11. I get along well with my parents.	O	O	O	O	O	O
12. I am too stupid at school to get into a good university.	O	O	O	O	O	O
13. I make friends easily with boys.	O	O	O	O	O	O
14. I make friends easily with girls.	O	O	O	O	O	O
15. Most of my friends are better looking than I am.	O	O	O	O	O	O
16. Most things I do, I do well.	O	O	O	O	O	O
17. I am good at things like sports, gym, and dance.	O	O	O	O	O	O
18. It is difficult for me to talk to my parents.	O	O	O	O	O	O
19. If I work really hard I could be one of the best students in my school year.	O	O	O	O	O	O
20. Not many people of my own sex like me.	O	O	O	O	O	O
21. I am not very popular with members of the opposite sex.	O	O	O	O	O	O
22. I am good looking.	O	O	O	O	O	O
23. Nothing I do ever seems to turn out right.	O	O	O	O	O	O
24. I am awkward at things like sports, gym, and dance.	O	O	O	O	O	O
25. My parents treat me fairly.	O	O	O	O	O	O
26. I get bad grades in most school subjects.	O	O	O	O	O	O
27. I am popular with boys.	O	O	O	O	O	O
28. I am popular with girls.	O	O	O	O	O	O
	False	Mostly False	More False Than True	More True Than False	Mostly True	True
29. I hate the way I look.	O	O	O	O	O	O
30. Overall, most things I do turn out well.	O	O	O	O	O	O
31. I am better than most of my friends at things like sports, gym, and dance.	O	O	O	O	O	O
32. I have lots of arguments with my parents.	O	O	O	O	O	O
33. I learn things quickly in most school subjects.	O	O	O	O	O	O
34. I do not get along very well with boys.	O	O	O	O	O	O
35. I do not get along very well with girls.	O	O	O	O	O	O
36. Other people think I am good looking.	O	O	O	O	O	O
37. I don’t have much to be proud of.	O	O	O	O	O	O
38. I try to get out of sports and physical education classes whenever I can.	O	O	O	O	O	O
39. My parents understand me.	O	O	O	O	O	O
40. I am stupid at most school subjects.	O	O	O	O	O	O
41. I have good friends who are members of my own sex.	O	O	O	O	O	O
42. I have lots of friends of the opposite sex.	O	O	O	O	O	O
43. I am ugly.	O	O	O	O	O	O
44. I can do things as well as most people.	O	O	O	O	O	O
45. I can run a long way without stopping.	O	O	O	O	O	O
46. I do not like my parents very much.	O	O	O	O	O	O
47. I do well in tests in most school subjects.	O	O	O	O	O	O
48. Most boys try to avoid me.	O	O	O	O	O	O
49. Most girls try to avoid me.	O	O	O	O	O	O
	False	Mostly False	More False Than True	More True Than False	Mostly True	True
50. I have a good looking body.	O	O	O	O	O	O
51. I feel that my life is not very useful.	O	O	O	O	O	O
52. I hate things like sports, gym, and dance.	O	O	O	O	O	O
53. My parents really love me a lot.	O	O	O	O	O	O
54. I have trouble with most school subjects.	O	O	O	O	O	O
55. I make friends easily with members of my own sex.	O	O	O	O	O	O
56. I get a lot of attention from members of the opposite sex.	O	O	O	O	O	O
57. If I really try I can do almost anything I want to do.	O	O	O	O	O	O
58. I am good at most school subjects.	O	O	O	O	O	O
59. I have few friends of the same sex as myself.	O	O	O	O	O	O
60. Overall, I am a failure.	O	O	O	O	O	O
61. Most school subjects are just too hard for me.	O	O	O	O	O	O
62. I enjoy spending time with my friends of the same sex.	O	O	O	O	O	O