Listening Quiz - Friends & Family Edition

Listening Quiz - Friends & Family Edition

Thank you for taking a few moments to help your friend or family member assess his/her listening skills. Please be as honest as possible. Do not try to give him/her a high or low score. Also, do not over-think your responses. Simply answer as accurately as you can.
NOTE: Only take this quiz for someone if he/she has asked you to complete it.
Your Name

First NameLast Name
Your Email
example@example.com
Who are you taking this quiz for?

First NameLast Name
Email of the person that you are assessing:
example@example.com
ASSESSMENT PROMPTS:
How often does the person (he/she) that you are assessing do the following actions?
1. Frequently changes the subject when it is his/her turn to talk*

FrequentlySometimesRarelyNever
2. Briefly summarizes what was said to him/her to gain a clear understanding of what was said*

FrequentlySometimesRarelyNever
3. Looks people in the eye when they are speaking*

FrequentlySometimesRarelyNever
4. Interrupts people if he/she has something to say*

FrequentlySometimesRarelyNever
5. Fidgets with items (pencil, hair, etc.) while others are talking*

FrequentlySometimesRarelyNever
6. Allows attention to wander if the speaker doesn't retain his/her interest*

FrequentlySometimesRarelyNever
7. Purposefully asks questions to encourage someone that is speaking to continue sharing*

FrequentlySometimesRarelyNever
8. Seems to wait for people to finish their points before judging what people say*

FrequentlySometimesRarelyNever
9. His/her posture remains open and his/her facial expressions continually show interest while other people are speaking*

FrequentlySometimesRarelyNever
10. Offers advice to help people with their issues, without specifically being asked for his/her input*

FrequentlySometimesRarelyNever
11. Finishes other people's sentences when someone pauses or hesitates while talking*

FrequentlySometimesRarelyNever
12. Seems to think about what he/she is going to say in response, while other people are still talking*

FrequentlySometimesRarelyNever
13. While in conversation he/she nods occasionally, and encourages the speaker with small verbal comments like "okay" and "uh huh"*

FrequentlySometimesRarelyNever
14. Audibly groans or makes disapproving faces when someone states something he/she disagree with*

FrequentlySometimesRarelyNever
15. Immediately corrects people when they mispronounce words*

FrequentlySometimesRarelyNever
16. Puts his/her phone away (OR turns it over and puts it on silent) until the conversation is over*

FrequentlySometimesRarelyNever
17. While in conversations how often does he/she respond with these statements (or something very similar):
a. I know how you feel…*

FrequentlySometimesRarelyNever
b. Let me tell you what happened to me…*

FrequentlySometimesRarelyNever
c. You think that’s bad? Did you hear about…*

FrequentlySometimesRarelyNever
d. You feel that way because…*

FrequentlySometimesRarelyNever
e. You shouldn’t think that way…*

FrequentlySometimesRarelyNever
f. Listen, this is what you need to do…*

FrequentlySometimesRarelyNever
g. I’m sure everything will work out… (or "It will be fine.")*

FrequentlySometimesRarelyNever
h. Just hang in there…*

FrequentlySometimesRarelyNever
i. Awe, don’t cry…*

FrequentlySometimesRarelyNever
18. ADDITIONAL HELPFUL FEEDBACK:
Please share additional constructive feedback that will help him/her become a better listener.
FORM SUBMISSION:

By submitting this form I agree to keep my responses and the results of this Listening Quiz confidential. I will ONLY talk about them with the person, for whom I have completed this form.

I also agree that I will NOT share this Listening Quiz with any other person, organization, or entity.
TOTAL CALCULATION:
Should be Empty:

Listening Quiz - Friends & Family Edition

ASSESSMENT PROMPTS:

FORM SUBMISSION: