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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. *
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 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 avoid necessary confrontations.*
People tell me I just don’t listen.*
I have trouble setting and honoring boundaries in relationships.*
I find it hard to express how I really feel.*
I get defensive easily and I have a hard time receiving criticism.*
I feel like people don’t listen to me.*
I have trouble asking for what I want.*
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*
E-mail Address*
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.



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Name
Email







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”





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