APPENDIX M (required activity)

HOW ARE MY SOCIAL SKILLS CHECKLIST

INSTRUCTIONS:I. THIS IS NOT A TEST, THE CHECKLIST WILL HELP YOU DETERMINE WHICH SKILLS USED WHEN
DEALING WITH OTHER PEOPLE NEEDS IMPROVEMENT. RATE YOURSELF USING THE FOLLOWING SCALE BY
CHECKING THE APPROPRIATE BOX: 1- Hardly ever 2 – sometimes 3 – almost always4 – always

1 2 3 4

1. Listening: I can pay attention to someone who is talking.

2. Starting a conversation: I can talk to others about simple or complicated topics.

3. Asking a question: I can decide what question to ask someone and then ask it.

4. Saying thank you: I let people know that I am thankful for things.

5. Introducing self: I go up to people on my own and meet them.

6. Introducing other people: I help people meet each other.

7. Asking for help: I request assistance when I need it.

8. Knowing my feelings: I am aware of what emotions I am feeling.

9. Expressing my feelings: I let others know what emotions I am feeling.

10. Asking permission: I know when I need permission and what I need to do to get it.

11. Helping others: I help others when they need or want it.

12. Dealing with someone of a different age: I can get along with someone older or younger than I am.

II. FROM YOUR COMPLETED CHECKLIST, LIST THE TOP3 SKILLS WHICH YOU NEED TO WORK ON (RATED AS 1 OR 2)
THEN WITH A PARTNER, IDENTIFY AT LEAST THREE STEPS NEEDED TO ENHANCE THE SKILL.

SKILL STEPS

1. Introducing
self: I go up to a. Dress properly
people on my own and meet
them. b. Introduce yourself to others even if you are shy try to
overcome it
 c. Tell more about yourself

2.Expressing my feelings: I let a. Acknowledge your emotions

others know what emotions I am
feeling. b. Express it in a creative way

c. Verbalize your feelings in a healthy way

3.Starting a conversation: I can a. be friendly and polite

talk to others about simple or
complicated topics. b. Respond to what they will say

c. Tell about your opinion/feelings about the topics