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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:

Instructions
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:

Choose "A" if the statement on the left is highly descriptive of that person

Choose "B" if the statement on the left is somewhat descriptive of that person

Choose "C" if the statement on the right is somewhat descriptive of that person

Choose "D" if the statement on the right is highly descriptive of that person

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 authoritatively		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 pressure
	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 decision-maker		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		Shares 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		Informal
	A	B	C	D

(optional) Your e-mail address:

For administrative purposes only

Please ensure you have scored all 18 items.
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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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Relating & Communicating Styles - Peer & Acquaintance Feedback -

Roberts Learning Home Page Contact Us By E-MailCopyright � 2004 [Roberts Learning]. All rights reserved. Revised: 10/5/04

Relating & Communicating Styles
- Peer & Acquaintance Feedback -

Roberts Learning Home Page
Contact Us By E-Mail
Copyright � 2004 [Roberts Learning]. All rights reserved.
Revised: 10/5/04