Professional Documents
Culture Documents
Scoring instructions
1. There are eighty statements; respond with ”Yes” if the statement is like or true of you and “No” if the
statement is unlike or untrue of you. Simply circle your response, “Yes” or “No”.
2. Respond to the statements as spontaneously and honestly as you can. The more honest you are with
yourself the more relevant and significant will be your results.
3. Ensure that you respond to all the statements. It will take you approximatively 5 minutes to complete the
questionnaire.
4. When you have completed the questionnaire turn to the scoring chart and circle all the numbers to which
you have responded “Yes”, ignore those to which you have responded “No”
5. You score 1 point for each “Yes” that you have circled.
6. Add and total you scores in the vertical columns.
7. Then turn to the section “Interpreting your scores”. It is important that you complete the questionnaire before
reading this section, otherwise it may influence how you respond to the statements.
Self-Perception Questionnaire
1
Assertiveness@Nathalie COX Assertiveness – Self-Perception Test
When I ask for what I want I I often feel that others have let
15 Yes No 55 Yes No
generally give people no choice. me down.
I usually tell people rather than ask I usually ask questions in
16 Yes No 56 Yes No
them to do things. order to gather information.
I generally check out my
I have a tendency to blame others
17 Yes No 57 assumptions with the people Yes No
when things go wrong.
concerned.
I seek others’ views when making
18 Yes No 58 I try not to offend other people. Yes No
decisions which affect them.
I often fantasise about ways of
I have a tendency to put myself
19 Yes No 59 getting my own back on Yes No
down.
others.
When asked I often don’t know I usually tell people what I
20 Yes No 60 Yes No
what I want. think
I am usually cautious about what I I generally say sorry when I
21 Yes No 61 Yes No
say to others about myself. have made a mistake.
I am usually listen to and take I readily accept that people will
22 Yes No 62 Yes No
account of others’ views. say “No” to me sometimes.
I generally enjoy getting on with I have a tendency to jump to
23 Yes No 63 Yes No
my work. and draw conclusions.
I usually deal with conflict I rarely tell others what I really
24 Yes No 64 Yes No
situations directly. think or feel.
I rarely say “No” when asked to do I usually go along with what
25 Yes No 65 Yes No
something. other people want.
26 I have a tendency to be sarcastic. Yes No 66 I usually feel inferior to others. Yes No
I usually have difficulty in I am frequently demotivated in
27 Yes No 67 Yes No
delegating to others. my work.
I generally have creative solutions I am often despondent about
28 Yes No 68 Yes No
to problems. things in general.
When I refuse a request I usually I have a tendency to dismiss
29 Yes No 69 Yes No
feel guilty. others’ wants and needs.
I have a tendency to be anxious I usually respect other people
30 Yes No 70 Yes No
about what people think of me. irrespective of their views.
I generally avoid taking on
31 Yes No 71 I readily take on responsibility. Yes No
responsibility.
I have a tendency to see others as I am quick to put other
32 Yes No 72 Yes No
more important than me. peoples’ ideas down.
I am generally quick to feel I am usually anxious about
33 Yes No 73 Yes No
criticized. upsetting other people.
I often think I am the only one who I regularly seek feedback from
34 Yes No 74 Yes No
can do the job correctly. other people.
I generally deal with conflict I am usually keen to spot the
35 Yes No 75 Yes No
situations indirectly. flaws in others’ arguments.
I usually enjoy discussing ideas I often have negative thoughts
36 Yes No 76 Yes No
with people. about myself and others.
37 I rarely give praise to others. Yes No 77 I usually feel equal to others. Yes No
I usually find it difficult to sort out In often expect that people will
38 Yes No 78 Yes No
my problems. dislike me.
I rarely receive feedback about my I have a tendency to be put
39 Yes No 79 Yes No
behaviour. upon by others.
I regularly appreciate others for I usually assume that others
40 Yes No 80 Yes No
what they have done. will not get on with me.
2
Assertiveness@Nathalie COX Assertiveness – Self-Perception Test
Scoring Chart
Passive 1 3 5 1 1 2 2 2 3 3 4 4 5 5 5 6 6 7 7 7
0 9 0 5 9 0 2 4 5 2 3 8 5 6 3 8 9
Manipulative 2 7 8 1 1 2 2 3 3 3 4 4 5 5 5 6 6 6 7 8
3 4 1 6 1 5 8 2 6 0 4 9 4 7 8 6 0
Aggressive 4 9 1 1 1 1 2 3 3 3 3 4 4 5 5 6 6 6 7 7
2 5 6 7 7 3 4 7 9 3 7 1 5 0 3 9 2 5
Assertive 6 1 1 2 2 2 2 3 4 4 4 4 5 5 6 6 7 7 7 7
1 8 2 3 4 8 6 0 1 8 9 6 7 1 2 0 1 4 7
If your highest score, or one of your highest scores, is Passive, then some or all of the following characteristics
are likely to be true of you:
Lack of self-confidence and low self-esteem Feelings of inferiority compared to others
Lack of self-respect Like others to be in control of people and
Self put-downs situations
Negative feelings and thoughts about yourself Feel guilty towards others
Demotivated
If your highest score, or one of your highest scores, is Manipulative, then some or all of the following
characteristics are likely to be true of you:
Lack of self-confidence and low self-esteem Dishonest and indirect
Lack of self-respect and lack of respect for others Twist what others have said
Mistrustful and suspicious of others’ motives Undermine other’s self-esteem
Negative feelings and thoughts about self and Depressed and demotivated
others
If your highest score, or one of your highest scores, is Aggressive, then some or all of the following
characteristics are likely to be true of you:
Lack of self-confidence and low self-esteem Disinterested in others’ thoughts and feelings
Lack of respect towards others Feel angry towards others and are quick to
Put others down blame them
Feelings of superiority Don’t listen to or ask others questions
Like to be in control of people and situations Dismissive of feedback
If your highest score, or one of your highest scores, is Assertive, then some or all of the following characteristics
are likely to be true of you:
Self-confidence and high self-esteem Ask questions
Respect for self and towards others Honest and direct
3
Assertiveness@Nathalie COX Assertiveness – Self-Perception Test
Take responsibility for self Listen to others
Motivated to do a good job Ask others for feedback
Interested in others’ feelings and thoughts
WHAT DOES IT MEAN TO BE ……
4
Assertiveness@Nathalie COX Assertiveness – Self-Perception Test
confidence is to compare yourself to others, to put them down and to feel better than them. As a result of this
behaviour you may well feel better in yourself for a while; however, feelings of self-worth which are experienced
at others’ expense are usually short-lived and rather superficial.
5
Assertiveness@Nathalie COX Assertiveness – Self-Perception Test
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Assertiveness@Nathalie COX Assertiveness – Self-Perception Test