Name*

First Last

Email*

Do you find it difficult to start or have a conversation with unfamiliar people?*

Do you find it difficult to start or have a conversation with an influential person (boss, supervisor, General Manager, CEO)?*

Do you find it difficult to express your ideas or to “find the right words” in a conversation with someone unfamiliar?*

Do you care what others think of you?*

Do you find it difficult to recognise how others feel or what others are thinking in a conversation?*

Do you find it uncomfortable when someone compliments you?*

Do you find it difficult to disagree with someone because you are afraid that it will make them angry or dislike you?*

Do you find it difficult to compliment others?*

Do you find it difficult to express how you really feel about a topic?*

Do you avoid or change the topic when someone is expressing their feelings?*

Is it difficult for you to apologise to someone during a conversation?*

Do you feel uncomfortable in a conversation when someone disagrees with you on a subject?*

Do you find it difficult to end conversations?*

Do you find it difficult to keep the conversational flow?*

In a conversation, do you find it difficult to put yourself in the other person’s shoes?*

Do you remember the personal details of the other person after the conversation?*