Adrias, Kervy

Hipolito, Rachell

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
ABILITY TO MAKE DECISIONS
ABILITY TO SOLVE PROBLEMS
INTERPERSONAL ABILITIES
✔
Steps
A. I will limit choices
B. I will set a deadlines
C. Be assertive. I will try taking
command of the decision-making
process.
A. I will assess the Solution's
Effectiveness.
B. I will implement a plan
C. I will evaluate solutions
A. Be Conscious, Respectful, and
Empathetic Toward Others.
B. Actively Listen to Others
C. Actively Listen to Collaborate More by
Saying “Yes” Before Saying “No”