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SOCIAL SKILLS STUDENT CHECKLIST

ADOLESCENT

Name:

Listed below you will find a number of skills that you are more or less good in using.
This checklist will help you see how well you use the various skills. If there is a time
when you have particular difficulty using the skill, please write that situation on the line
under the item.

Circle 1 if you are never good at using the skill.


Circle 2 if you are seldom good at using the skill.
Circle 3 if you are sometimes good at using the skill.
Circle 4 if you are often good at using the skill.
Circle 5 if you are always good at using the skill.

Never Always
1. Do I pay attention to the person who is talking 1 2 3 4 5
and try to understand what is being said?
________________________________________________________________________

2. Is it easy for me to begin a conversation? 1 2 3 4 5


________________________________________________________________________

3. Do I talk to others about things of interest to 1 2 3 4 5


both of us?
________________________________________________________________________

4. Do I know how to ask for the information I need 1 2 3 4 5


and who to ask for that information?
________________________________________________________________________

5. Do I let thank people when I am grateful for 1 2 3 4 5


favors?
________________________________________________________________________

6. Is it easy for me to take the first step to meet 1 2 3 4 5


somebody I don’t know?
________________________________________________________________________

7. Do I help other people get to know each other? 1 2 3 4 5

________________________________________________________________________

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