4. Use the following Communication Styles Survey10 to assess your communication
style. First, complete the Assertiveness Scale and the Responsiveness Scale by circling
the number that best represents your self-evaluation regarding each of the
paired characteristics. Give your candid reaction—there is no right or wrong
answer. After completing each set, complete the scoring as instructed and plot
your scores on the grid chart.
Scoring for Assertiveness Scale:
Add the circled numbers on this page and enter the sum here ___
Divide this sum by 14 to compute your Assertiveness Score and enter it here ___
Assertiveness Scale
I perceive myself as being:
Cooperative Competitive
1 2 3 4 5
Submissive Authoritarian
1 2 3 4 5
Accommodating Domineering
1 2 3 4 5
Hesitant Decisive
1 2 3 4 5
Reserved Outgoing
1 2 3 4 5
Compromising Insistent
1 2 3 4 5
Cautious Risk-Taking
1 2 3 4 5
Patient Hurried
1 2 3 4 5
Complacent Influential
1 2 3 4 5
Quiet Talkative
1 2 3 4 5
Shy Bold
1 2 3 4 5
Supportive Demanding
1 2 3 4 5
Relaxed Tense
1 2 3 4 5
Restrained Assertive