Assessment

reaLation asks “How Assertive are you?”

Circle the response that best suits your personality. Add up the total. Results in the left column.

    1. I avoid dealing with difficult situations involving confrontation.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time
    2. I feel people take advantage of me.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time
    3. Talking to people in positions of authority makes me feel nervous, self-conscious, or unsure of myself.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time
    4. I feel and act self-confident

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time
    5. I express my opinions, even if others in the group disagree with me.

    • 1. Almost never
    • 2. Rarely
    • 3. Sometimes
    • 4. Quite often
    • 5. Most of the time
    6. Opinionated people make me feel uncomfortable.

    • 1. Almost never
    • 2. Rarely
    • 3. Sometimes
    • 4. Quite often
    • 5. Most of the time

7. 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, or wishing I had the guts to say them.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time

8. I fear making phone calls to institutions, government agencies or businesses, because I might sound stupid if I don’t understand the instructions.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time

9. I am able to express my discontent with a friend or a partner if I think it’s justified.

    • 1. Almost never
    • 2. Rarely
    • 3. Sometimes
    • 4. Quite often
    • 5. Most of the time

10. I tend to be speechless when I am left alone with a person I find attractive.

    • 5. Almost never
    • 4. Rarely
    • 3. Sometimes
    • 2. Quite often
    • 1. Most of the time
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