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Assessment for the Public Speaking Program
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Name *
Phone *
Email *
What do you do? (Give details) *
Location/City *
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): *
1-4
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 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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