First Choice Health - Assertiveness Awareness Tool

1.

Talking to people who are in authority makes me nervous, self conscious and unsure of myself.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

2.

I feel and act with confidence in most situations.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

3.

I'm usually able to express my frustrations with the behavior of a friend if I think it is justified.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

4.

People who express their opinions make me uncomfortable.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

5.

I can express my opinion to others in a group or meeting even if the group disagrees with me.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

6.

When an argument is over, I replay the situation in my head, thinking of all the things I could have said, regretting that I hadn't thought of them then.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

7.

I almost always avoid dealing with difficult situations involving confrontation.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

8.

I feel I let people take advantage of me.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

9.

In social situations or at work I usually have something to say if in a group.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time

10.

I tend to be left speechless when I'm left alone with a person I find attractive.

Almost Never
Rarely
Sometimes
Quite Often
Most of the Time