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: