Assertiveness Questionnaire, A26 Test - the question form

Questions: 26 · 5 minutes
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1. I can introduce myself to people I feel attracted to; I do not wait for them to make the first move.
1 – Always
2 – Often
3 – Rarely
4 – Never
2. When talking with someone, I am unable to disagree even if I think my own point of view is more correct. It is easier for me to stay silent.
1 – Always
2 – Often
3 – Rarely
4 – Never
3. In meetings and group discussions, I prefer to stay quiet when there is a risk of looking foolish.
1 – Always
2 – Often
3 – Rarely
4 – Never
4. I find it difficult to ask someone I am interested in to go out with me (for example, someone of the opposite sex).
1 – Always
2 – Often
3 – Rarely
4 – Never
5. When I am praised or paid a compliment, I feel awkward and do not know how to respond.
1 – Always
2 – Often
3 – Rarely
4 – Never
6. When discussing something important, or with someone I depend on, I become confused and feel I am not convincing.
1 – Always
2 – Often
3 – Rarely
4 – Never
7. I find it difficult to ask a stranger for something.
1 – Always
2 – Often
3 – Rarely
4 – Never
8. I find it difficult to start a conversation with officials or managers, even when I just need to tell them something.
1 – Always
2 – Often
3 – Rarely
4 – Never
9. I stand up for my rights.
1 – Always
2 – Often
3 – Rarely
4 – Never
10. I do not hesitate to tell anyone who works, relaxes, or lives with me in the same room that they should do their share to keep things tidy.
Always
Often
Rarely
Never
11. I find it easy to maintain eye contact with someone whose views differ from mine.
1 – Always
2 – Often
3 – Rarely
4 – Never
12. I find it difficult to ask for a favor.
1 – Always
2 – Often
3 – Rarely
4 – Never
13. If something in the other person’s behavior interferes with the conversation, I am assertive enough to tell them so.
1 – Always
2 – Often
3 – Rarely
4 – Never
14. I let other people take advantage of me.
1 – Always
2 – Often
3 – Rarely
4 – Never
15. Do you ever avoid certain people or try to avoid particular situations because you do not want to feel embarrassed?
1 – Always
2 – Often
3 – Rarely
4 – Never
16. Do you feel uncomfortable reminding the waiter about you if they start serving a customer who arrived after you without having served you?
1 – Always
2 – Often
3 – Rarely
4 – Never
17. If someone is wrong about something, would you feel embarrassed to tell them so?
1 – Always
2 – Often
3 – Rarely
4 – Never
18. I find it difficult to give someone a compliment or praise.
1 – Always
2 – Often
3 – Rarely
4 – Never
19. Would you feel embarrassed to ask a waiter in an expensive restaurant to replace a dish if it was poorly prepared or presented?
1 – Always
2 – Often
3 – Rarely
4 – Never
20. Is it difficult for you to stand up for your point of view if it conflicts with the views of someone you respect?
1 – Always
2 – Often
3 – Rarely
4 – Never
21. I objectively evaluate my own behavior.
1 – Always
2 – Often
3 – Rarely
4 – Never
22. I have had to justify and apologize for my behavior.
Always
Often
Rarely
Never
23. I worry about people close to me when they have problems.
1 – Always
2 – Often
3 – Rarely
4 – Never
24. Other people's opinions are very important to me.
1 – Always
2 – Often
3 – Rarely
4 – Never
25. I should be logical when making decisions.
1 – Always
2 – Often
3 – Rarely
4 – Never
26. I find it difficult to admit that I did not understand the explanation (task).
Always
Often
Rarely
Never
1. I can introduce myself to people I feel attracted to, without waiting for them to make the first move.
1 – Always
2 – Often
3 – Rarely
4 – Never
2. When talking with someone, I am not able to disagree, even when I think my own point of view is more correct. It is easier for me to stay silent.
1 – Always
2 – Often
3 – Rarely
4 – Never
3. In meetings or group discussions, I prefer to keep quiet when there is a risk of looking foolish.
1 – Always
2 – Often
3 – Rarely
4 – Never
4. I find it difficult to ask someone I am interested in (for example, a person of the opposite sex) to meet.
1 – Always
2 – Often
3 – Rarely
4 – Never
5. When I am praised or paid a compliment, I feel flustered, do not know how to respond, and feel uncomfortable.
1 – Always
2 – Often
3 – Rarely
4 – Never
6. When discussing something important, or speaking with someone I depend on, I get confused and feel that I am not convincing.
1 – Always
2 – Often
3 – Rarely
4 – Never
7. I find it difficult to ask a stranger for something.
1 – Always
2 – Often
3 – Rarely
4 – Never
8. I find it difficult to start a conversation with officials or supervisors, even when I simply need to tell them something.
1 – Always
2 – Often
3 – Rarely
4 – Never
9. I stand up for my rights.
1 – Always
2 – Often
3 – Rarely
4 – Never
10. I am not embarrassed to tell anyone who works, relaxes, or lives with me in the same room to do their share of keeping things tidy.
1 – Always
2 – Often
3 – Rarely
4 – Never
11. It is not difficult for me to maintain eye contact with someone whose views differ from mine.
1 - Always
2 - Often
3 - Rarely
4 - Never
12. I find it difficult to ask someone for a favor.
1 – Always
2 – Often
3 – Rarely
4 – Never
13. If something in the other person's behavior interferes with the conversation, I have enough resolve to tell them so.
1 – Always
2 – Often
3 – Rarely
4 – Never
14. I let others take advantage of me.
Always
Often
Rarely
Never
15. Do you ever avoid certain people or try to stay out of certain situations because you do not want to feel embarrassed or awkward?
1 – Always
2 – Often
3 – Rarely
4 – Never
16. Do you feel uncomfortable reminding a waiter about you if they start serving a customer who arrived after you without having served you?
1 – Always
2 – Often
3 – Rarely
4 – Never
17. If someone is wrong about something, would you feel embarrassed to tell them so?
1 - Always
2 - Often
3 - Rarely
4 - Never
18. I find it difficult to give someone a compliment or praise.
Always
Often
Rarely
Never
19. Would you feel embarrassed to ask the waiter in an expensive restaurant to replace a dish if it is poorly prepared or presented?
1 – Always
2 – Often
3 – Rarely
4 – Never
20. Do you find it difficult to stand up for your point of view if it conflicts with the views of someone you respect?
1 – Always
2 – Often
3 – Rarely
4 – Never
21. I assess my own behavior objectively.
1 – Always
2 – Often
3 – Rarely
4 – Never
22. I have had to justify my actions and apologize for my behavior.
1 – Always
2 – Often
3 – Rarely
4 – Never
23. I worry about people close to me when they have problems.
1 – Always
2 – Often
3 – Rarely
4 – Never
24. Other people's opinions are very important to me.
1 – Always
2 – Often
3 – Rarely
4 – Never
25. I should be logical when making decisions.
Always
Often
Rarely
Never
26. I find it difficult to admit that I did not understand an explanation or instruction.
1 – Always
2 – Often
3 – Rarely
4 – Never
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