Name:

Code Name:

Condition (circle one): A B

Answer each of the following questions before listening to the music. Answer the questions with respect to the way you feel at the moment; don’t necessarily think about the way you typically feel.

Time 1

1. I feel that I'm a person of worth, at least on an equal plane with others.
Strongly Disagree          1          2          3          4          5          Strongly Agree

2. I feel that I have a number of good qualities.
Strongly Disagree          1          2          3          4          5          Strongly Agree

3. All in all, I am inclined to feel that I am a failure.
Strongly Disagree          1          2          3          4          5          Strongly Agree

4. I am able to do things as well as most other people.
Strongly Disagree          1          2          3          4          5          Strongly Agree

5. I feel I do not have much to be proud of.
Strongly Disagree          1          2          3          4          5          Strongly Agree

Answer each of the following questions after listening to the music. Answer the questions with respect to the way you feel at the moment; don’t necessarily think about the way you typically feel.

Time 2

Yes or No – I feel better about myself now (having listened to the music) than I did before.