Communication Readiness Survey

Communication Assessment

Use this assessment to rate your communication skills.
Please note that all fields followed by an asterisk must be filled in.
Rate each from 1 through 5, with 1 being very infrequent or never, and 5 being very frequent or always I avoid talking about things I know I should because I am afraid I will hurt someone�s feelings. * Rate each from 1 through 5, with 1 being very infrequent or never, and 5 being very frequent or always I avoid talking about things I know I should because I am afraid I will hurt someone�s feelings. *

I find it difficult to say �I love you� or to express affection and acknowledgement verbally.* I find it difficult to say �I love you� or to express affection and acknowledgement verbally.*

I am uncomfortable with receiving attention and/or affection. * I am uncomfortable with receiving attention and/or affection. *

I deflect praise and compliments by downplaying them. * I deflect praise and compliments by downplaying them. *

I �bite my tongue� again and again rather than speak my mind, until I finally blow up at someone.* I �bite my tongue� again and again rather than speak my mind, until I finally blow up at someone.*

I avoid necessary confrontations.* I avoid necessary confrontations.*

People tell me I just don�t listen.* People tell me I just don�t listen.*

I have trouble setting and honoring boundaries in relationships.* I have trouble setting and honoring boundaries in relationships.*

I find it hard to express how I really feel.* I find it hard to express how I really feel.*

I get defensive easily and I have a hard time receiving criticism.* I get defensive easily and I have a hard time receiving criticism.*

I feel like people don�t listen to me.* I feel like people don�t listen to me.*

I have trouble asking for what I want.* I have trouble asking for what I want.*

Total Communication Readiness Score* Total Communication Readiness Score*

Enter the following information and call me at (727) 394-7325 for a complimentary 15 minute assessment of your results! First and Last Name* Enter the following information and call me at (727) 394-7325 for a complimentary 15 minute assessment of your results! First and Last Name*

E-mail Address* E-mail Address*

Home Phone* Home Phone*

RESULTS

0-20: Green light - You are a good communicator - keep up the good work and continue to practice and enhance your communication skills.
20-40: Yellow light - Continue to work on the areas where you need to expand and strengthen your communication skills.
40-60: Red light - To have a more satisfying life, your communication skills could use some upgrading. Spend time really working on those areas needed to improve your communication skills.

Need a lift of motivation, inspiration and information to lighten and brighten your day?

Get Illuminated with the weekly edition of the
Illuminations and Sparks of Brilliance
e-zine

Sign up here for your complimentary subscription delivered to your e-mail box!

Ken Donaldson, MA, LMHC
10333 Seminole Blvd Suite 6
Seminole FL 33778
(727) 394-7325
Ken@REALationshipCoach.com
www.REALationshipCoach.com
�Illuminating and Inspiring Brilliance�

footer for Ken Donaldson page