Activity G

The questions aim to identify aspects of your life in which you feel either assertive or non-assertive.

 

Decide how confident you are in the following situations?

 

YOU WILL NOT BE SHARING YOUR RESPONSES WITH ANYONE BUT YOURSELF! SO BE FAIR & HONEST!

 

Circle each statement 1, 2 or 3 to indicate your response.

 

1 = I feel tense = 1 point 2 = I feel moderately OK  = 2 points 3 = I feel fine = 3 points

 

	1	2	3
Your appearance
Speaking in front of a group of people
Walking into a room of men/women
Keeping eye contact when addressing someone you like
Your mind
Requesting service that is not forthcoming in a shop
Asking for feedback about your performance in cooking, schoolwork, appearance
Being alone in a group of couples
Addressing Conflict
Disagreeing with some-one
Asking probing questions at a meeting or of one of your Family
Stating your differing view to a male/authority figure- doctor, teacher, lawyer
Saying No
Saying “No” when asked to baby-sit, lend money when you don’t want to
Saying “No” when asked to help in a voluntary capacity for charity
Saying “No” to giving some-one a lift that is out of your way
Establishing Your Values
Commenting on a racist or sexist remark in a group
Addressing a “put down” such as: “You’re intelligent for a woman” or “You’re sensitive for a man”
Asking for “thinking it over” time

 

Add up your score.

 

Scores for the questionnaire: 15 – 20 you need to work on your assertive skills 20 - 30 in some situations you can be assertive, but look at the ones that cause you anxiety 30 +     you are assertive.

 

return to Topic 1