SELF-ASSESSMENT: SOCIAL SKILLS
Directions: Please rate your skill level for the following social skills
SKILL
ABILITY
Introducing self to others
Entering a conversation
Listening without interrupting
Making eye contact
Ending a conversation
Following directions
Offering help
Sharing
Accepting responsibility for actions
Asking for help
Compromising
Ignoring teasing and provocation
Handling negativity
Expressing own emotions
Expressing own opinions
Handling anger
Handling failure
Handling other people’s anger
Handling success
Speaking in a pleasant tone of voice
Speaking at an appropriate rate
Using appropriate body language
ADEPT
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
DEFICIENT
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
DON’T KNOW
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
DK
SELF ASSESSMENT: CREATING A CIVIL, COURTEOUS CULTURE
Directions: Mark the items in both columns that apply to your behavior and actions
Positives
___ I offer help to someone else.
___ I smile when I pass someone.
___ I say “hello” to people.
___ I look at people directly when they speak.
___ I use good manners.
___ I listen quietly when someone is talking.
___ I do my work trying not to bother others
unless necessary.
8. ___ I follow school system rules and
procedures.
9. ___ I do something nice for someone, just
because I feel like it.
1.
2.
3.
4.
5.
6.
7.
1.
2.
3.
4.
5.
6.
7.
Negatives
___ I change the topic when someone is talking.
___ I gossip about others.
___ I whine about things I didn’t like.
___ I interrupt someone.
___ I am rude.
___ I tease someone.
___ I don’t listen when someone else is talking.
8. ___ I am in a bad mood and tell people to get away.
9. ___ I don’t feel like talking to anyone.
10. ___ I ignore someone that I don’t like.
11. ___ I say something mean to hurt people’s feelings.