RAP 6th Grade Assertiveness Questionnaire and Knowledge Test


By: Jones, Jordan
Instance of:  Assertiveness Knowledge Test (7-12)
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Assertiveness is the ability to express your wants, needs, and thoughts while respecting others, even when it is difficult.

The first section shows your students' self-rated behaviors on the two components of assertiveness:
1. Express Myself
2. Respect Others

The graph provides average ratings for all items within a component, and the table displays the number of students that selected each rating for individual items. Some items, such as "I often have a hard time saying 'No,'" are reverse scored. Selecting a rating of '1 - not very like me' means that students are demonstrating the ability to say no when there is pressure to do something that they do not want to do, whereas if they selected a rating of '5 - very like me,' they currently may need to focus on the express myself component of assertiveness.

The quiz section shows the correct answer to each knowledge question and the percentage of students that selected the correct answer. Guide students to reflect on the results of this self-reflection and knowledge test to identify ways to expand their learning and practice of assertiveness.

NOT Like Me
VERY Like Me
Question Topic Reversed? Average Reverse Corrected Average #1 Cnt #2 Cnt #3 Cnt #4 Cnt #5 Cnt
1. I stand up to my friends if they are doing something I don't feel comfortable doing.Express MyselfNO4.34.3229933
2. I speak up when someone is not respecting my personal boundaries like 'no cheating off my homework' or 'I don't let friends borrow money.'Express MyselfNO3.73.71129627
3. I often have a hard time saying 'No.'Express MyselfYES3.42.611314621
4. I express my opinions, even if others disagree with me. Express MyselfNO4.24.2525736
5. When an argument is over, I often wish I would have said what was really on my mind.Express MyselfYES3.82.21035532
6. I tend to just go along with what everyone else wants instead of stating my own thoughts.Express MyselfYES24336637
7. I sometimes avoid asking questions for fear of sounding stupid.Express MyselfYES4.21.82310634
8. I tend to bottle up my emotions rather than talk about my feelings.Express MyselfYES4.21.8266734
9. If I disagree with my teacher, I talk to him or her about it.Express MyselfNO3.73.710410031
10. If a person has borrowed money (or a game, clothes, or something else of value) and is overdue in returning it, I talk to the person about it.Express MyselfNO4.24.2537139
11. I'm usually able to tell people how I'm feeling.Express MyselfNO3.73.77182613
12. If I don't like the way someone is being treated, I speak up about it.Express MyselfNO3320012716
13. I speak up about things I really care about.Express MyselfNO4.24.20610534
14. I am careful to avoid hurting other people's feelings, even when I feel that I have been wronged.Respect OthersNO331786420
15. I have a hard time controlling my emotions when I disagree with someone.Respect OthersYES331991521
16. I avoid attacking someone's intelligence when I disagree with their ideas.Respect OthersNO2.12.1324685
17. I listen to other people's opinions, even if I disagree with them.Respect OthersNO2.42.4292789
18. In disagreements, I make sure that I understand other points of view.Respect OthersNO2.72.710201078
19. In discussions, I communicate that I am listening through body language (nodding my head, avoiding rolling my eyes). Respect OthersNO3.93.93262915
20. Even in an argument, I don't interrupt the other person.Respect OthersNO1.81.8339661
Total Average With Reverse Questions Flipped 3.1 OR (52.5%)

Quiz Section


Question Correct Answer % Correct
21. Choose the best definition of assertiveness.A41.8%
22. You tell your teacher, "You have to let me answer this text; it's from my mom!"Aggressive32.7%
23. Invading the personal space of othersAggressive40%
24. Stating your ideas in an honest and direct mannerAssertive30.9%
25. Glaring and staring at othersAggressive18.2%
26. Apologizing over and overPassive78.2%
27. Clear and reasonable toneAssertive54.5%
28. InterruptingAggressive78.2%
29. The best way to show someone that you are listening to his/her concerns is to:A52.7%
30. Which of these options best describes an assertive statement?C10.9%
31. Identify the best example of a 3-part assertive statement.C5.5%
32. Which of these actions or behaviors are NOT associated with assertiveness?B49.1%
33. Using the above scenario and what you've learned about assertiveness, choose the best option for how McKenzie should discuss this with her parents.B61.8%
34. When you lack assertiveness, you have a higher chance of becoming withdrawn and isolated or experiencing depression and anxiety.True76.4%
35. Personal boundaries are clear expectations of how others should act in various situations.False72.7%
36. Adults who lack assertiveness are more likely to experience unemployment.True56.4%
37. As students, we can control our emotions and some feelings are unnecessary.False14.5%
Average of Quiz Items EXCLUDING essay questions:45.6%
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