Form: Ego State Questionnaire Revised, ESQ-R

1 – Strongly Disagree
2 – Disagree
3 – Neutral
4 – Agree
5 – Strongly Agree
¹
1
2
3
4
5
1
I am afraid to be myself in most social situations.
2
I am not critical of others.
3
I am seldom confused.
4
To be happy, you've got to conform.
5
I like to help others.
6
I am not a spontaneous person.
7
I often try to ease the hurt and pain of others.
8
I am a clear thinker.
9
I generally conform to the wishes of others.
10
Most people do not live up to my standards.
11
I am a fun-loving person.
12
I am a realistic person.
13
I tend to find faults in others.
14
I am an uninhibited person.
15
I do not care a great deal about other people.
16
I am almost always myself in social situations.
17
I am a pleasure-seeking person.
18
I am critical of others.
19
I usually encourage other people.
20
I often criticize myself.
21
I spend much of my time trying to figure out what others want me to do.
22
I am an energetic person.
23
I am not a helpful person.
24
I am judgmental of others.
25
I am a very logical person.
26
It's important to please others.
27
I am not an enthusiastic person.
28
I am not an organized person.
29
I enjoy nurturing others.
30
I feel that I am nervous about a lot of things.
31
I am a very capable person.
32
I am a very kind person.
33
I tend to nag others a great deal.
34
I am usually very alert.
35
I am impulsive.
36
I am a sympathetic person.
37
I am a fair-minded person.
38
I am often very bossy.
39
I am an anxious person.
40
I am an adventurous person.

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.