Assertiveness Awareness [Student ID: 24087]
Instance of: Assertiveness (Old Version)Administered By: Sloan, Rhonda
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| Grade: 12 | Gender: N/A | Date Taken: 5/8/17 |
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This assessment measures two important components of assertiveness:
1. Express Myself: Do you express your own opinions, needs, and preferences?
2. Respect Others: Do you show respect to others, even if you disagree?
The graph highlights your strengths.
| Question | Reversed? | Topic | VERY like me | 5 | 4 | 3 | 2 | 1 | NOT like me |
| 1. I stand up to my friends if they are doing something I don't feel comfortable doing. | Boundaries |  | |||||||
| 2. To be honest, people often take advantage of me. | YES | Boundaries | | ||||||
| 3. I have personal boundaries like 'no cheating off my homework' or 'I won't let friends borrow money" | Boundaries | | |||||||
| 4. If someone was upsetting me, I would keep my feelings to myself rather than politely remove myself from the situation. | YES | Boundaries | | ||||||
| 5. I often have a hard time saying 'No" | YES | Express Myself | | ||||||
| 6. I express my opinions, even if others disagree with me. | Express Myself | | |||||||
| 7. When an argument is over, I often wish I would have said what was really on my mind. | YES | Express Myself | | ||||||
| 8. I tend to just go along with what everyone else wants, instead of stating my own thoughts. | YES | Express Myself | | ||||||
| 9. I sometimes avoid asking questions for fear of sounding stupid. | YES | Express Myself | | ||||||
| 10. I tend to bottle up my emotions rather than talk about my feelings. | YES | Express Myself | | ||||||
| 11. If I disagree with my teacher, I talk to him or her about it. | Express Myself | | |||||||
| 12. 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 Myself | | |||||||
| 13. I generally express how I feel. | Express Myself | | |||||||
| 14. If my food order is wrong, I will return it. | Express Myself | | |||||||
| 15. I tend to lose my temper and swear at people. | YES | Respect Others | | ||||||
| 16. I tend to yell at people when I don't get my way. | YES | Respect Others | | ||||||
| 17. I am careful to avoid hurting other people's feelings, even when I feel that I have been wronged. | Respect Others | | |||||||
| 18. I am very careful to avoid attacking someone's intelligence when I disagree with their ideas. | Respect Others | | |||||||
| 19. I appreciate other people's opinions, even if I disagree with them. | Respect Others | | |||||||
| 20. In discussions, I restate what others said to make sure I understood them correctly. | Respect Others | | |||||||
| 21. In discussions, I communicate that I am listening through body language (nodding my head, eye contact). | Respect Others | | |||||||
| 22. Even in an argument, I don't interrupt the other person. | Respect Others | |
