Participant Name:

Participant Age:
Participant Gender:

Use the checklist to evaluate how you

use the various skills based on your
observation of various situations.

From Arnold P. Goldstein and Ellen

McGinnis. Skill streaming The
Adolescent: New Strategies and
Perspectives for Teaching Prosaically
Skills . Research Press, Champaign, IL.
1997.

Check 1 if you almost never uses the skill.

Check 2 if you seldom uses the skill.
Check 3 if the person sometimes uses the skill.
Check 4 if you often uses the skill.
Check 5 if you almost always uses the skill.

Almost Almost
Skill Never Seldom Sometimes Often Always
Listening: Do I listen when others talk to
1 1 2 3 4 5
me?
Comments:

Starting a Conversation: Do I begin

2 1 2 3 4 5
conversations with other people?
Comments:

Having a Conversation: Do I talk to

3 others about things of interest to both of 1 2 3 4 5
them?
Comments:

Asking a Question: Do I know how and

4 when to ask questions of another 1 2 3 4 5
person?
Comments:

5 Saying Thank You: Do I let others know 1 2 3 4 5

when I am grateful for favors/etc.?
Comments:

6 Introducing Yourself: Do I become 1 2 3 4 5

acquainted with new people on my own?
Comments:
 Introducing Other People: Do I help
7 others become acquainted with one 1 2 3 4 5
another?
Comments:

Giving a Compliment: Do I tell others

8 that I likes something about them or 1 2 3 4 5
something they have done?
Comments:

9 Asking for Help: Do I request assistance 1 2 3 4 5

when I am having a difficulty?
Comments:

Joining In: Do I take steps to become

10 1 2 3 4 5
part of an ongoing activity or group?
Comments:

Giving Instructions: Do I clearly explain

11 to others how and why they should do 1 2 3 4 5
something?
Comments:

Following Instructions: Do I carry out

12 instructions from others quickly and 1 2 3 4 5
correctly?
Comments:

Apologizing: Do I tell others I am sorry

13 1 2 3 4 5
after doing something wrong?
Comments:

Convincing Others: Do I attempt to

14 persuade others that my ideas are better 1 2 3 4 5
than theirs?
Comments:

15 Knowing Your Feelings: Do I recognize 1 2 3 4 5

which emotions I have at different times?
Comments:

16 Expressing Your Feelings: Do I let others 1 2 3 4 5

know which emotions I am feeling?
Comments:

Understanding the Feelings of Others:

17 Do I understand what other people are 1 2 3 4 5
feeling?
Comments:
 Dealing With Someone Else's Anger: Do
18 I try to understand someone else's anger 1 2 3 4 5
without getting angry myself?
Comments:

Expressing Affection: Do I let others

19 1 2 3 4 5
know that I cares about them?
Comments:

Dealing With Fear: Do I figure out why I

20 am afraid and do something to reduce 1 2 3 4 5
the fear?
Comments:

21 Rewarding Yourself: Do I say and do nice 1 2 3 4 5

things for myself when it is deserved?
Comments:

Asking Permission: Do I understand

22 when permission is needed and the right 1 2 3 4 5
person to ask for it?
Comments:

Sharing Something: Do I offer to share

23 1 2 3 4 5
what I have with others?
Comments:

Helping Others: Do I give assistance to

24 1 2 3 4 5
others who might need or want it?
Comments:

Negotiating: Do I help arrive at a plan

25 that satisfies both myself and others who 1 2 3 4 5
have taken different positions?
Comments:

26 Using Self Control: Do I control my 1 2 3 4 5

temper so things do not get out of hand?
Comments:

Standing Up For Your Rights: Do I assert

27 1 2 3 4 5
my rights by letting other people know
where I stand with an issue?
Comments:

Responding to Teasing: Do I deal in a

28 1 2 3 4 5
constructive way with being teased?
Comments:
 Avoiding Trouble With Others: Do I stay
29 out of situations that might get me into 1 2 3 4 5
trouble?
Comments:

Keeping Out of Fights: Do I figure out

30 ways other than fighting to handle 1 2 3 4 5
difficult situations?
Comments:

Making a Complaint: Do I disagree with

31 1 2 3 4 5
others in acceptable ways?
Comments:

Answering a Complaint: Do I try to

32 arrive at a fair solution to someone else's 1 2 3 4 5
justified complaint?
Comments:

Being a Good Sport: Do I express an

33 honest compliment to others about they 1 2 3 4 5
played a game?
Comments:

Dealing With Embarrassment: Do I do

34 things that help my feel less embarrassed 1 2 3 4 5
or self-conscious?
Comments:

Dealing With Being Left Out: Do I deal

35 positively with being left out of some 1 2 3 4 5
activity?
Comments:

Standing up for a Friend: Do I let other

36 people know when a friend has not been 1 2 3 4 5
treated fairly?
Comments:

Responding to Persuasion: Do I think

37 1 2 3 4 5
alternatives through before responding
to persuasion from others?
Comments:

Responding to Failure: Do I figure out

38 the reasons I failed out something and 1 2 3 4 5
how to correct the failure?
Comments:
 Dealing with Contradictory Messages:
Do I recognize and deal with it when
39 1 2 3 4 5
others say or do one thing but also
indicate they mean something else?
Comments:

Dealing with an Accusation: Do I figure

out what I has been accusation of, then
40 1 2 3 4 5
theme constructive ways of dealing with
it?
Comments:

Getting Ready for a Difficult

Conversation: Do I plan out the best way
41 1 2 3 4 5
to present my own point of view before a
stressful conversation?
Comments:

Dealing with Group Pressure: Do I

42 1 2 3 4 5
decide what I wants to do when others
are urging me to do something else?
Comments:

Deciding on Something to Do: Do I deal

43 with feeling bored by starting an 1 2 3 4 5
interesting activity?
Comments:

Deciding What Caused a Problem: Do I

44 1 2 3 4 5
try to find out whether an event was
caused by something under my control?
Comments:

Setting a Goal: Do I realistically plan on

45 what I would like to accomplish before 1 2 3 4 5
starting a task?
Comments:

Deciding on Your Abilities: Do I

46 accurately figure out how well I might do 1 2 3 4 5
at a particular task?
Comments:

Gathering Information: Do I decide

47 what I need to know and how to get the 1 2 3 4 5
information?
Comments:
 Arranging Problems by Importance: Do I
realistically decide which of a number of
48 1 2 3 4 5
problems most important and should be
dealt with first?
Comments:

Making a Decision: Do I consider

49 possibilities and make choices that I feel 1 2 3 4 5
will be best?
Comments:

Concentrating on a Task: Do I pay full

50 attention to the task on which I am 1 2 3 4 5
working?
Comments:

Other

Other

Other