COMMUNICATION SURVEY QUESTIONS
Name: _______________________
Surname: _______________________
Please provide us your answers. For each item, respond as honestly as possible. All informations will
be used according to Article called Protection of personality's information.
Choose one of the following answers to sentences:
1 2 3 4 5
NEVER NOT OFTEN SOMETIMES OFTEN ALWAYS
1. When someone makes me angry I deal with them while still angry. 1 2 3 4 5
I become impatient with people who do not express their thoughts and opinions
2. 1 2 3 4 5
clearly.
I can get to the solution of the problem without regard to underlying interests or
3. 1 2 3 4 5
motivations.
4. When I’m negotiating with someone I view them as an opponent. 1 2 3 4 5
I believe the words I choose in communication with another person convey most of
5. 1 2 3 4 5
my message.
When I listen carefully to what someone is saying to me I can predict what their
6. 1 2 3 4 5
conclusion will be.
When I’m not sure about what someone is saying to me, rather than ask questions,
7. 1 2 3 4 5
I’ll wait to learn more.
When someone gives me instructions and asks, “do you understand,” I say “yes”
8. 1 2 3 4 5
even if I’m not entirely sure.
9. Effective communication can be achieved simply by taking turns talking. 1 2 3 4 5
When I’m locked in an argument with someone I view them as an opponent, and I
10. 1 2 3 4 5
think in terms of win/lose.
When I initiate a discussion of something important to me and want to be sure it
11 makes an impact, I invite the other person to explain their viewpoint before I 1 2 3 4 5
present mine.
I ask for more information about why a particular demand is being made to explore
12. 1 2 3 4 5
for underlying interests and ask why a position is important.
I listen fully and affirm that I understand what the other person has said as a sign of
13. 1 2 3 4 5
respect to the speaker.
When I ask questions for clarification, they tend to be open ended and cannot be
14. 1 2 3 4 5
answered with a simple “yes” or “no” response.
The best way to get the listening I need is to make the other person feel listened to
15. 1 2 3 4 5
first.
In negotiations I try to direct the focus away from stated positions and explore for
16. 1 2 3 4 5
interests and common solutions.
I practice direct communication by using “I” statements, such as, “ I think...,” “I
17. 1 2 3 4 5
feel...,” “I need....”
I look past a person’s opinion of what solution is necessary to solve the problem to
18 1 2 3 4 5
get to their needs and underlying interests.
19. When someone says something I’m not sure about I ask for clarification. 1 2 3 4 5
I restate the essence of the speaker’s message in my own words as a way of checking
20. 1 2 3 4 5
on the accuracy of what has been heard.