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PROGRAM. IT IS POSTED BY THE CENTER FOR RURAL STUDIES FOR PUBLIC
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EXERCISE 1
Communicating with Self and Others: A Feedback Form
> Instructions:
l) Read the list of statements for each skill area and check the
column that generally describes your own practices.
2) Go over the entire feedback form to see if there are skill areas
in which you clearly sense the need for improvement.
3) For each of the six skill areas, make note of individual
statements that you didn't understand or sense you need to work on.
4) Select three or four of those skills or practices where you feel
the need for improvement and write a short goal statement (i.e., "I
will improve my active listening skills") and build this goal into
your learning contract.
COMMUNICATING WITH SELF AND OTHERS: A FEEDBACK FORM
Some- Don't
Seldom Times Often Know
> Self Observation and Feedback
I give myself supportive,
objective messages.
I am aware of what is going on
inside (my thoughts, feelings,
direction).
I view myself as competent,
capable, lovable.
I can state what I want for
myself in a simple,
positive picture of how
I'd like things to be.
I create symbols or images of the
directions I wish to go.
> Receiving Feedback
I listen actively to suggestions
of others.
I ask for feedback from others.
I sort out the feelings of
others from their objective
observations.
I share generous amounts of
who I am with others.
> Giving Feedback
I let others know when I:
do not understand
what they have said.
appreciate something
they have said or done.
disagree with them.
feel hurt, embarrassed, or
put down by something
they have said or done.
I seek appropriate times/places
to give feedback.
I separate my feelings from objective
observations when giving feedback.
I use feedback to build/empower others.
Some- Don't
Seldom Times Often Know
> Active Listening
I use appropriate non-verbal cues
to indicate I am actively
listening (eye contact, body
language, silence).
I am aware of how my verbal responses
as a listener maintain or change
the focus of the speaker.
I use "open questions" (how, what,
would, could) to help the speaker
clarify his or her thinking.
I use reflections (statements which
reinforce or clarify the speakers
statements of fact or feeling).
Others seem to seek me out as a good listener.
I see my ability to listen as a means
of giving support and empowering others.
> Non-Verbal Expressions
I am aware of my own body language.
I am aware of the body language of others.
I use effective non-verbal skills when:
listening to others
influencing others
I know and practice relaxation techniques.
I am aware of my breathing patterns.
I am aware of the use of touch in
communications.
Some- Don't
Seldom Times Often Know
> Public Speaking
I talk in public in formal and
informal settings. I am
comfortable when giving
public presentations.
My public presentations are well
organized and well received.
I use a variety of styles when
speaking in public.
My speaking voice is clear; my
volume and rate are appropriate.
I practice my public presentations
to see how they will sound,
how long they will take.
I use humor appropriately in
public presentations.
I use a variety of audiovisual
aids and equipment when
speaking before groups.
> Written Expression
I write using a wide variety
of formats (memos, reports,
press releases, grants).
I research and organize my
thoughts before writing.
I think about my audience(s)
when writing.
I ask others to read and comment
on my content, style, organization.
I allow time for two or more
drafts of important written
products.
The local paper runs my releases
without revision.
I use informal writing (journals,
letters to friends) to improve
my formal writing.
Comments to: crs@uvm.edu
Reviewed as of 4/20/98