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Relationships Management

Assess your needs and strengths

This page offers a form to help you to clarify your current goals, needs, concerns or challenges. You may send your responses to one of our mentors for our suggestions of support and development. (View our Privacy Policy.)

Use the form in one (or both) of two ways:

  1. Add your details and select the mentor to whom you would like it sent. Tick the relevant boxes, enter your comments then submit them by clicking on Send Form.
  2. Click here for a printer-friendly version of the form. Print and complete it on paper for your own record or or to email to Tom Watkins.

        Fields marked by an asterisk (*) require an entry, thank you.

*Your name:


*Your email address:


Contact phone:
(incl country &
area codes)

Postal address:

First, tick the items which best describe your needs, concerns, goals or challenges:

  I'd like impartial feedback about my interpersonal communication practices
  Too often I flag away or discount my own needs for the sake of peace, to avoid arguments or conflict
  I want to become more assertive
  Other people's demands cause me a lot of stress
  I need to say No more often and more confidently
  I want to set and hold boundaries with others
  I find it difficult to give honest feedback
  I find it difficult to hear criticism or negative feedback about me
  I am often misunderstood
  Instructions I give are not carried out as I want them
  I want to be able to make complaints or report dissatisfaction more confidently
  My communication style is a problem for some people
  Ways I express my feelings seem to make it hard for others to hear them
  I speak up but my viewpoint is disregarded
  Other people tend to "dump" their problems on me
  I'd like to be more approachable
  I'd like more respectful and honest relationships
  I often misunderstand others
  I'd like to become a better listener
  I'd like to know who owns the problem
  I want to be better at supporting people to deal with their problems
  I'd like to modify some of the unhelpful attitudes I have towards myself (or others) in relationships
  I find conflict and differences difficult to deal with
  I want to reduce the level and incidence of destructive conflict in my life
  I want to be more effective when others become emotional, hostile or distressed
  I want to be less "stewed-up" about things which bother me
  I tend to suppress my feelings
  I tend to make others' problems my own
  I am often angry with other people
  Sometimes, when angry, I lose it and go over the top
  People seem frightened to tell me the truth
  I don't get the feedback from others I want and need
  I find it hard to receive feedback or criticism
  I am told I am hostile, indirect, or that I sulk

Other needs, concerns, goals, challenges or interests:

Next, complete these statements, where possible, to record some of your strengths:

My interpersonal skills are best under these circumstances:

Things I am confident about in this area of my life, include:

Despite unclarity about some things to do with interpersonal communication, I am clear about:

Any further comments you would like to make:

        

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