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Relating & Communicating Styles
- Peer & Acquaintance Feedback -

Enter the name of the person for whom you are providing feedback and his/her employer

First Name:  Last Name: Employer:

Each numbered line below contains a pair of contrasting statements (for example "Makes requests" versus "Makes direct statements").  For each pair of contrasting statements, choose the letter on the scale (A, B, C, or D) that most closely describes the person named above (from your perspective). Make your choice based on the following:

Note: there are no good or bad choices. Please do not omit any items!

1. Makes requests

Makes direct statements

  A B C D
2. Speaks rapidly and

Carefully chooses words
when speaking

  A B C D
3. Detailed planner

Rapid-action person

  A B C D
4. Often appears too
hard on people

Often appears too soft
on "the issues"

  A B C D
5. Gathers extensive data
to make decisions

Makes quick decisions

  A B C D
6. Takes risks

Avoids risks

  A B C D
7. Doesn't openly express
personal opinions

Openly expresses
personal opinions

  A B C D
8. "Take-charge"
 kind of person

"Behind the scenes"
kind of person

  A B C D
9. Works best when not
under pressure

Works best under

  A B C D
10. "Get down to business"
 kind of person

"Get acquainted first"
kind of person

  A B C D
11. Is most concerned with
being fair

Is most concerned with getting results

  A B C D
12. Independent

Involves others when
making decisions

  A B C D
13. Seeks the viewpoint
of others

Seeks verifiable facts
rather than opinions

  A B C D
14. Doesn't share
personal information

personal information

  A B C D
15. Places principles
ahead of outcomes

Places outcomes
ahead of principles

  A B C D
16. Smiles

Laughs out loud

  A B C D
17. Drawn to jobs that have
excitement potential

Drawn to jobs that have
results potential

  A B C D
18. Serious


  A B C D

(optional) Your e-mail address:

 For administrative purposes only

Please ensure you have scored all 18 items.

Press the "Submit Form" button below when you are finished.

Utilization Notice

This information is intended primarily for personal development purposes. Submission of this form authorizes Roberts Learning to collect, tabulate, and analyze the responses given to the questions contained herein.

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Revised: 9/17/08

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