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You are being asked to participate in a brief online survey as part of an exercise for your psychology 290 course. This survey will take approximately 15 minutes to complete.

No identifying information will be collected. However, we will distribute the resulting data to the entire class, and it is remotely possible that other students could use the collected data to try to identify each other. This is unlikely, however, and you can expect a reasonable level of confidentiality. In addition, the survey does not cover sensitive topics.

You will not receive compensation for your participation in this study. There is no foreseeable risk to your involvement.

I understand that my participation in this study is voluntary and that I may withdraw from the study at any time. You will not be penalized in any way for deciding not to participate in this study.
 
 
 
* What is your gender?
 
Male
 
Female
 
 
 
How old are you?
   
 
 
 
Which of the following best describes your political orientation?
 
Republican
 
Democrat
 
Independent
 
Other
 
 
 
Please rate your agreement with the following statements
Strongly Disagree Disagree Agree Strongly Agree
* I feel that I am a person of worth, at least on an equal plane with others.
* I feel that I have a number of good qualities..
* All in all, I am inclined to feel that I am a failure.
* I am able to do things as well as most other people.
* I feel I do not have much to be proud of.
* I take a positive attitude toward myself.
* On the whole, I am satisfied with myself.
* I wish I could have more respect for myself.
* I certainly feel useless at times.
* At times I think I am no good at all.
 
 
Please rate yourself on each of the following
Very Poor Poor Satisfactory Good Excellent
* Health
* Academic Performance
* Social Relationships
* Career Prospects
* Income
* Overall Happiness
* Self-Esteem
 
Please contact [email protected] if you have any questions regarding this survey.
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