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🌿 Therapy & Mental Wellness

Free Self-Esteem Assessment Template

Free self-esteem self-assessment — ten items score self-worth, self-compassion, comparison and assertiveness separately, with a personalized AI profile report.

~6 min
10 scored items
AI PDF Report
AI Consultant
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Free self-esteem self-assessment — ten items score self-worth, self-compassion, comparison and assertiveness separately, with a personalized AI profile report.

Disclaimer: this page and its AI report are for self-reflection and process reference only. They do not constitute medical, psychological, financial, legal or safety advice. Consult a qualified professional when needed.

Methodology: items are a structural adaptation of widely used frameworks, not an official version; scoring is indicative, not diagnostic.

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About this template

Low self-esteem is not one thing — fragile self-worth, harsh self-comparison and weak self-compassion behave differently in therapy. This ten-item check scores them as separate dimensions with forward and reverse-worded items, and the AI report says which kind of esteem is slipping, so the work starts at the right door.

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Live Preview

Sample form and AI report preview (fillable once the app is published).

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Fill it in to see how responses flow.
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Sample AI report with scoring visuals and recommendations, printable as a PDF.
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Scan the QR on the report to start an AI consultant chat.
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What's Included

The worth, competence and self-compassion dimensions it measures.

1

Balanced item set

Forward and reverse-worded items reduce answer bias.

2

Four dimensions

Self-worth, self-compassion, comparison habit and assertiveness separated.

3

AI profile report

Explains where esteem is fragile in everyday language.

4

Therapy-ready prompts

Suggested starting points for self-compassion work.

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How It Works

From copy to a self-esteem profile in four steps.

1

Copy the template

Import the assessment, scoring and report — free.

2

Fit the population

Reword items for teens, workplace or couples contexts.

3

Complete privately

Clients answer in about six minutes on their device.

4

Open the profile

Bring dimension scores into the self-esteem session.

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Who Is This For

Who it informs — therapists, coaches or the individual.

1

Self-compassion & CBT therapists

A baseline that separates worth from comparison habit.

2

Individuals questioning confidence

A structured mirror before starting therapy.

3

Student counselors

Repeatable esteem snapshot across a caseload.

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Key Features

What makes this self-esteem check gentle and honest.

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Sample Questions Inside

Ten anchored worth, competence and self-compassion items — the live check scores each dimension and explains the pattern in an AI report.

  1. I feel that I have a number of good qualities. (1-5)
  2. I take a positive attitude toward myself. (1-5)
  3. On the whole, I am inclined to feel that I am a failure. (reverse, 1-5)
  4. I wish I could have more respect for myself. (reverse, 1-5)
  5. At times I think I am no good at all. (reverse, 1-5)
  6. I am certainly inclined to think I am a person of worth. (1-5)
  7. Which situation most knocks your self-worth down? (open)
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Frequently Asked Questions

What is a good self-esteem questionnaire structure?
Balance forward-worded and reverse-worded items on a short anchored scale — reverse items catch reflexive positive answering, and the profile becomes far more honest.
Is this the Rosenberg Scale?
No — it borrows the general framing of widely used self-worth scales with original wording; scores are indicative self-reflection, not a diagnosis.
What does a low score mean?
Not a verdict: the report separates dimensions, so low overall esteem might be comparison-driven rather than worth-driven — different work for therapy.
Is it free to use?
Yes — copy the assessment with scoring and AI report into your workspace at no cost.
Can I retake it over time?
Yes; comparing the dimension profile every few weeks shows which kind of self-esteem work is landing.
Does the AI report replace therapy?
No — it frames where to begin; the exploration happens with you.

See which kind of esteem is slipping

A ten-item self-esteem check with a four-dimension AI profile — free to copy.