Name*

First Last

Email*

I feel nervous and anxious while preparing for a social speech.*

Speaking in front of a large group of people makes me nervous.*

I do not know where to begin or what to say when writing a “Thank You”, “Acceptance”, “Farewell”, and “Impromptu” speech.*

I struggle to relate or talk about the person I am presenting the speech too.*

I am always aware of my gestures, facial expressions, tone of voice and posture when I deliver my speeches.*

I breathe faster when delivering a speech.*

My hands tremble when presenting a speech.*

My thoughts become confused and unclear when delivering a speech.*

I find it difficult to write and present a “Thank You” Speech.*

I find it difficult to write and present a “Presentation” Speech.*

I find it difficult to write and present a “Acceptance” Speech (a gift or reward).*

I find it difficult to Propose a Toast or reply to a toast.*

“Impromptu” Speeches are difficult for me.*

I find it difficult to write and present as a MC (Master of Ceremonies)*