| 1. |
When I look in the mirror, I see myself in a positive manner. |
Yes
No |
| 2. |
I feel good in the clothes I wear. |
Yes
No |
| 3. |
I
feel like I deserve to be treated well. |
Yes
No |
| 4. |
When
I go shopping for clothes, I am confident about the colors I should
purchase, what looks best on me, and what doesn’t. |
Yes
No |
| 5. |
I
never allow others to talk down to me. |
Yes
No |
| 6. |
I
am certain how to put outfits together to get the most out of my wardrobe. |
Yes
No |
| 7. |
I
feel confident when I go into a social setting. |
Yes
No |
| 8. |
I
am consistent with the color clothes I wear. |
Yes
No |
| 9. |
I
believe I can mix and mingle with various types of people and still be
‘me’. |
Yes
No |
| 10. |
I
have had my colors analyzed and feel comfortable with the results. |
Yes
No |
| 11. |
I
am comfortable being by myself. |
Yes
No |
| 12. |
When
people stare at me I usually feel it’s because they think I look great. |
Yes
No |
| 13. |
I
feel I am better than others. |
Yes
No |
| 14. |
I
walk with a positive posture and appearance. |
Yes
No |
| 15. |
I usually have positive thoughts about myself and my surroundings. |
Yes
No |
| 16. |
I
would like to remain looking the same as I currently do. I feel I have
nothing to change about my outward appearance. |
Yes
No |
| 17. |
When
people see me, they usually believe I am happy. |
Yes
No |
| 18. |
I
know what color lipsticks, blush and eye shadows to wear. |
Yes
No |
| 19. |
I
enter in to an initial meeting or interview with confidence and
determination. |
Yes
No |
| 20. |
I
feel I know what looks flattering on me. |
Yes
No |
| 21. |
People
say I have a certain presence about me that is positive. |
Yes
No |
| 22. |
I
don’t have anything about my body that needs changing. |
Yes
No |
| 23. |
I
like ‘me’. |
Yes
No |
| 24. |
I
know how to mix and match my wardrobe to get various outfits from just a
few items. |
Yes
No |
| 25. |
I
befriend people that are a positive influence in my life. |
Yes
No |
| 26. |
I
groom my toenails as well as my fingernails. |
Yes
No |
| 27. |
I
forgive myself for my own mistakes. |
Yes
No |
| 28. |
I
know how to wear clothes that are flattering to my body type. |
Yes
No |
| 29. |
I
know how to take care of myself so I can give to others. |
Yes
No |
| 30. |
I
feel my hairstyle is complimentary. |
Yes
No |
| 31. |
I
recognize when I need ‘time out’ to re-group, and take that time out. |
Yes
No |
| 32. |
I
only wear one ring on each hand. No more. |
Yes
No |
| 33. |
I
exhibit self-control in my thoughts, words, temper and physical presence. |
Yes
No |
| 34. |
I
match my nylons or socks to the hemline of my dress or pants. |
Yes
No |
| 35. |
I
feel I deserved to be loved. |
Yes
No |
| 36. |
I
have an equal balance in my physical, mental and spiritual life. |
Yes
No |