A self love questionnaire is the one which usually helps a person to test him or herself on how much does he/she give importance to their own self. Such a questionnaire helps people to know about how do they view themselves on the basis of their capabilities and self worth and whether or not they can criticize their own self when necessary. Such a questionnaire includes long list of objective and subjective questions. Given below is a sample of such a self love questionnaire.

Sample Self Love Questionnaire:

Name of the person:


Gender:     (M/F)

Date of birth:       (dd/mm/yy)


Telephone number:

Email address:

Choose one option for the following given categories:

Q1.Do you give importance to your own opinion in case of important family matters?

  • Yes
  • No
  • Sometimes
  • Rarely

Q2.Do you feel yourself capable of taking important financial decisions for the family?

  • Highly capable
  • Medium capable
  • Low capable
  • Not capable at all

Q3.Do you take good care of your health?

  • Yes, I take a very good care of my health
  • Sometimes, I take a good care of my health
  • Occasionally, I take care of my health
  • I don’t like to take care of my health at all
  • Other people take care of my health, not me

Q4.Do you give time to your hobbies, apart from your routine life?

  • I give a good amount of time to my hobbies
  • I give time to my hobbies only sometimes
  • I rarely have time to indulge in my hobbies
  • I don’t have any time to indulge in my hobbies, so I don’t take any interest in them

Q5. Do you criticize yourself in front of others?

  • Rarely
  • Occasionally
  • Sometimes
  • Most of the times
  • Never