Susan Miller “Communication Survey”
Please complete the survey and bring to the Sponsorship Workshop prior to Dr. Miller’s session
Name:__________________________
Please rate yourself in the skill areas listed below. The scale is 1 (never) to 5 (always).
No.
Skill Areas
Today’s date:
1.
Presence
 Do I make a good impression within the first 2 seconds of an
interaction?
 Am I grounded physically in my stance so that my posture is good
and I portray confidence when I speak?
 Do I try to maintain eye contact with each person in the audience
or group when I speak?

Do I move freely and confidently so that the space I occupy is my
own?
 Are my gestures natural when I speak?
 Does my body remain relaxed and poised during challenging
situations?
 Do I have a firm and genuine handshake?
Subtotal:
Voice and Speech
 Do I like the sound of my voice?
 Do I project my voice so that I am heard by my listeners?
 Do I try to speak slowly especially when I am nervous or
challenged?
 Does my breathing remain relaxed and lower in my rib cage when
I speak?
 Do I relax my throat and jaw so that my pitch stays lower and
strong when I am tense, excited or angry?
 Do I inflect the ends of my sentences downward and not upward
as if asking a question?
 Do I articulate clearly when I speak?
Subtotal:
Communication
 Are my messages organized, clear and succinct?
 Do I insert only a few fillers such as um, er, like, so, and well?
 Do I assert myself verbally when challenged or criticized?
 Do I check my writings for spelling and grammatical errors?
 Am I receptive to allowing and inviting questions or clarifications?
 Am I good at initiating conversation in social situations?
 Do I manage conflicts well?
Subtotal:
Listening
 Do I actively listen and understand another’s point of view
without judgment?
 How often do I interrupt? (1 = a lot, 5 = never)?
Rating
2.
3.
4.
Date in 6
weeks:
Rating

5.
6.
How well do I listen to understand as opposed to listening to
reply?
 How well do I exhibit alertness and interest?
 How able am I to see points of agreement instead of weak spots
to argue against?
 How unbiased or empathic am I to others’ points of view?
 How well can I prevent myself from preparing an answer before
hearing all that has to be said first?
Subtotal:
Presentation
 Is my topic of interest to the audience?
 Do I engage the audience at the start of my presentation by
telling a story, asking a question, using a prop, stating a fact or
highlighting an event?
 Do I know the information that I am presenting?
 Do I care more about sharing information with the audience than
how I look?
 Do I clearly pronounce complex technical words during a
presentation?
 Do I close my presentation powerfully so that my message is
remembered?
 Can I can gather my thoughts and speak proficiently in
impromptu speaking situations?
Subtotal:
Preparation/Anxiety
 Does my breathing remain relaxed and lower in my rib cage when
I’m under pressure or challenged?
 Do I practice my talk out loud before a presentation or meeting?
 Do I use positive self-talk before a presentation?
 Do I anticipate questions or topics about which I may be asked to
speak during meetings?
 Do I schedule enough time to research and develop my comment
or presentation?
 Can I control my anxiety prior to and during my presentation?
 Do I think about what I did well and how I can do better after a
presentation or conversation?
Subtotal:
TOTAL:
©Voicetrainer LLC 2014