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Assessment for the Public Speaking Program
Please answer all questions the way you CURRENTLY are, not how you'd like to be and not how you'd like to be seen. Do not fill this on behalf of someone else who wishes to join the program.

After filling this form, you must call us at 9920818084 to finish the 2nd part of the assessment - to be done on the phone. (Ignore this if you've already done so.)
Name *
Phone *
Email *
Profession *
Confidence: The extent to which I'm confident when speaking in the following situations: *
Very Nervous
Somewhat nervous
Confident
Speaking in front of a large crowd
Standing up and speaking to a group of 5-10 UNKNOWN people
Standing up and speaking to a group of 5-10 KNOWN people
Sitting while speaking to a group of 5-10 UNKNOWN people
Sitting while speaking to a group of 5-10 KNOWN people
When people ask me sudden questions in interviews, presentations, etc.
Describe the nature of your nervousness, and check all that apply: *
Required
Content: How engaging is my content in the following situations ("1" is least engaging and "10" is most): *
1-3
4-6
7-10
Speaking in front of a large crowd
Speaking to a group of 5-10 UNKNOWN people
Speaking to a group of 5-10 KNOWN people
Conversing with 1-3 new people
People-skills. In formal/semi-formal situations, how high do you feel people rate you: *
Low
Medium
High
I'm able to influence people
I can manage people who are aggressive or dominating
I come across as a leader
I'm a good listener
I'm likeable
FINAL PART OF THE ASSESSMENT - Please read
After filling this form, you must call us at 9920818084 to finish the 2nd part of the assessment - to be done on phone. You can also leave a text/SMS requesting a call back at a convenient time.
How do you wish to complete the final part of the assessment? *
Is there anything else you'd like to tell us? (If there's a particular time you'd like a callback, please mention it here.)
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