OMB No: ???: Exp Date: ???
_____________________
(MARSH III – ages 16-25)
This is a chance to consider how you think and feel about yourself. This is not a test - there are no right or wrong answers, and everyone will have different responses. The purpose of this study is to determine how people describe themselves and what characteristics are most important to how people feel about themselves.
On the following pages are a series of statements that are more or less true (or more or less false) descriptions of you. Please use the following eight-point response scale to indicate how true (or false) each item is as a description of you. Respond to the items as you now feel even if you felt differently at some other time in your life. In a few instances, an item may no longer be appropriate to you, though it was at an earlier period of your life (e.g., an item about your present relationship with your parents if they are no longer alive). In such cases, respond to the item as you would have when it was appropriate. Try to avoid leaving any items blank. Please begin now. Thank you.
|
Definitely False |
False |
Mostly False |
More False Than True |
More True Than False |
Mostly True |
True |
Definitely True |
1. Overall, I have a lot of respect for myself. |
O |
O |
O |
O |
O |
O |
O |
O |
2. I get a lot of attention from members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
3. I hardly ever saw things the same way as my parents when I was growing up. |
O |
O |
O |
O |
O |
O |
O |
O |
4. I enjoy doing work for most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
5. I am never able to think up answers to problems that haven’t been already figured out. |
O |
O |
O |
O |
O |
O |
O |
O |
6. I have a physically attractive body. |
O |
O |
O |
O |
O |
O |
O |
O |
7. I have few friends of the same sex that I can really count on. |
O |
O |
O |
O |
O |
O |
O |
O |
8. I am a good athlete. |
O |
O |
O |
O |
O |
O |
O |
O |
9. Overall, I lack self-confidence. |
O |
O |
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 (???).
|
Definitely False |
False |
Mostly False |
More False Than True |
More True Than False |
Mostly True |
True |
Definitely True |
10. I find it difficult to meet members of the opposite sex whom I like. |
O |
O |
O |
O |
O |
O |
O |
O |
11. I would like to bring up children of my own (if I have any) like my parents raised me. |
O |
O |
O |
O |
O |
O |
O |
O |
12. I hate studying for many academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
13. I am good at combining ideas in ways that others have not tried. |
O |
O |
O |
O |
O |
O |
O |
O |
14. I am ugly. |
O |
O |
O |
O |
O |
O |
O |
O |
15. I am comfortable talking to members of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
16. I am awkward and poorly coordinated at many sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
17. Overall, I am pretty accepting of myself. |
O |
O |
O |
O |
O |
O |
O |
O |
18. I have lots of friends of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
19. I still have many unresolved conflicts with my parents. |
O |
O |
O |
O |
O |
O |
O |
O |
20. I like most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
21. I wish I had more imagination and originality. |
O |
O |
O |
O |
O |
O |
O |
O |
22. I have a good body build. |
O |
O |
O |
O |
O |
O |
O |
O |
23. I don’t get along very well with other members of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
24. I have good endurance and stamina in sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
25. Overall, I don’t have much respect for myself. |
O |
O |
O |
O |
O |
O |
O |
O |
26. Most of my friends are more comfortable with members of the opposite sex than I am. |
O |
O |
O |
O |
O |
O |
O |
O |
27. My parents have usually been unhappy or disappointed with what I do and have done. |
O |
O |
O |
O |
O |
O |
O |
O |
28. I have trouble with most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
|
Definitely False |
False |
Mostly False |
More False Than True |
More True Than False |
Mostly True |
True |
Definitely True |
29. I enjoy working out new ways of solving problems. |
O |
O |
O |
O |
O |
O |
O |
O |
30. There are lots of things about the way I look that I would like to change. |
O |
O |
O |
O |
O |
O |
O |
O |
31. I make friends easily with members of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
32. I hate sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
33. Overall, I have a lot of self-confidence. |
O |
O |
O |
O |
O |
O |
O |
O |
34. I am comfortable talking to members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
35. My values are similar to those of my parents. |
O |
O |
O |
O |
O |
O |
O |
O |
36. I am good at most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
37. I am not much good at problem solving. |
O |
O |
O |
O |
O |
O |
O |
O |
38. My body weight is about right (neither too fat nor too skinny). |
O |
O |
O |
O |
O |
O |
O |
O |
39. Other members of the same sex find me boring. |
O |
O |
O |
O |
O |
O |
O |
O |
40. I have a high energy level in sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
41. Overall, I have a very good self-concept. |
O |
O |
O |
O |
O |
O |
O |
O |
42. I am quite shy with members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
43. My parents have never had much respect for me. |
O |
O |
O |
O |
O |
O |
O |
O |
44. I am not particularly interested in most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
45. I have a lot of intellectual curiosity. |
O |
O |
O |
O |
O |
O |
O |
O |
46. I dislike the way I look. |
O |
O |
O |
O |
O |
O |
O |
O |
47. I share lots of activities with members of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
48. I am not very good at any activities that require physical ability and coordination. |
O |
O |
O |
O |
O |
O |
O |
O |
|
Definitely False |
False |
Mostly False |
More False Than True |
More True Than False |
Mostly True |
True |
Definitely True |
49. Overall, nothing that I do is very important. |
O |
O |
O |
O |
O |
O |
O |
O |
50. I make friends easily with members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
51. My parents treated me fairly when I was young. |
O |
O |
O |
O |
O |
O |
O |
O |
52. I learn quickly in most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
53. I am not very original in my ideas, thoughts, and actions. |
O |
O |
O |
O |
O |
O |
O |
O |
54. I have nice facial features. |
O |
O |
O |
O |
O |
O |
O |
O |
55. Not many people of the same sex like me. |
O |
O |
O |
O |
O |
O |
O |
O |
56. I like to exercise vigorously at sports and/or physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
57. Overall, I have pretty positive feelings about myself. |
O |
O |
O |
O |
O |
O |
O |
O |
58. I have had lots of feelings of inadequacy about relating to members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
59. It has often been difficult for me to talk to my parents. |
O |
O |
O |
O |
O |
O |
O |
O |
60. I hate most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
61. I am an imaginative person. |
O |
O |
O |
O |
O |
O |
O |
O |
62. I wish that I were physically more attractive. |
O |
O |
O |
O |
O |
O |
O |
O |
63. I am popular with other members of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
64. I am poor at most sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
65. Overall, I have a very poor self-concept. |
O |
O |
O |
O |
O |
O |
O |
O |
66. I am comfortable being affectionate with members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
67. My parents understand me. |
O |
O |
O |
O |
O |
O |
O |
O |
68. I get good grades in most academic subjects. |
O |
O |
O |
O |
O |
O |
O |
O |
69. I would have no interest in being an inventor. |
O |
O |
O |
O |
O |
O |
O |
O |
|
Definitely False |
False |
Mostly False |
More False Than True |
More True Than False |
Mostly True |
True |
Definitely True |
70. Most of my friends are better looking than I am. |
O |
O |
O |
O |
O |
O |
O |
O |
71. Most people have more friends of the same sex than I do. |
O |
O |
O |
O |
O |
O |
O |
O |
72. I enjoy sports and physical activities. |
O |
O |
O |
O |
O |
O |
O |
O |
73. Overall, I have pretty negative feelings about myself. |
O |
O |
O |
O |
O |
O |
O |
O |
74. I never seem to have much in common with members of the opposite sex. |
O |
O |
O |
O |
O |
O |
O |
O |
75. I like my parents. |
O |
O |
O |
O |
O |
O |
O |
O |
76. I could never achieve academic honors, even if I worked harder. |
O |
O |
O |
O |
O |
O |
O |
O |
77. I can often see better ways of doing routine tasks. |
O |
O |
O |
O |
O |
O |
O |
O |
78. I am good looking. |
O |
O |
O |
O |
O |
O |
O |
O |
79. I have lots of friends of the same sex. |
O |
O |
O |
O |
O |
O |
O |
O |
80. I am a sedentary type who avoids strenuous activity. |
O |
O |
O |
O |
O |
O |
O |
O |
81. Overall, I do lots of things that are important. |
O |
O |
O |
O |
O |
O |
O |
O |
82. Overall, I am not very accepting of myself. |
O |
O |
O |
O |
O |
O |
O |
O |
The End. |
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Date Completed |
Month Day Year |
Completed by |
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Date Reviewed
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Month Day Year |
Reviewer Code |
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Date Entered |
Month Day Year |
Data Entry Code |
|
File Type | application/msword |
File Title | False |
Author | lljames |
Last Modified By | fps8-su |
File Modified | 2007-03-19 |
File Created | 2007-03-16 |