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Five Minute Assertiveness Quiz

Using these numbers, give each statement a number which indicates how you usually handle situations.

            Never          Rarely         Sometimes         Usually         Always
               1                 2                   3                      4                 5

  1. I can refuse unreasonable request from friends.
  2. I am comfortable asking people to return money they have borrowed.
  3. I can defend my point of view to someone whom I respect who disagrees with me.
  4. I am able to make decisions easily.
  5. I can return unsatisfactory merchandise to the store.
  6. I can refuse high-pressure sales people with a definite “No.”
  7. I can take criticism without becoming defensive.
  8. I can object when I sense I am being treated unfairly.
  9. I can speak out in the midst of a group of people without undue anxiety.
  10. I can complain about an unreasonable workload.
  11. I can be direct about asking for help or a favour (instead of just hinting).
  12. I am able to openly express love or affection.
  13. I am able to express my feeling when someone does something that bothers me.
  14. I can ask my roommate/partner to assume a fairer share of the housework.
  15. I can accept a compliment graciously without making it less in my mind.
  16.  I am able to request expected service when it is not forthcoming (e.g. in a restaurant or store).
  17. I can tell a person when I think he/she is trying to control me.
  18. I can turn down a request for a meeting or date.
  19. I can maintain eye contact and keep my head upright in a personal conversation.
  20. I can make the first move toward starting a friendship with someone I am getting to know.
  21. I am (or would be) a good role model of assertiveness for my own child.
  22. I can accept my own mistakes and limitations.
  23. I am able to negotiate salary/wage increases and changes in job description.
  24. I can insist that my landlord (mechanic, repairman, etc.) make repairs, adjustments, replacements which are his responsibility.

TOTAL SCORE   _________

What does your score indicate?
95-120     Assertive
75-95       Moderately Assertive
50-75       Inconsistently Assertive
Under 50  Needs Practice



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