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* 1. Name, required (first & last)

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* 2. Brainstorm five communication interactions in which you expe­rienced some problems and another five interactions in which you helped another person solve a problem or feel better about a situation. What situation or exchange do you feel was the most important or significant? 

Now answer the questions listed below in relation to the exchange you identified and analyze how you might work on improving your strengths and minimizing your weaknesses.

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* 3. Did I immediately eliminate all distractions so that I could give the speaker my full attention? If so, how did this affect my ability to focus? If not, why not? What will I do differently next time? How did this negatively impact the exchange?

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* 4. Did I ask enough questions to ensure I understood the situation? If so, what additional information did I learn which helped  me? Or, did I jump to conclusions that I already understood  the  problem and immediately go into problem solving? If so, what happened  as a result, and what will I do differently next time?

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* 5. When I reflected back to the speaker  what  I  understood  him or her to be saying, how often did I find out that I misunderstood the message, and how did this affect the outcome of the conversation?

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* 6. How did I show empathy either verbally or nonverbally for the speaker? In what way did this improve the communication?

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* 7. Was I able to avoid "you" statements? If so, how did this help? Or, did I use accusatory language when discussing the situation? How did this affect the conversation?

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* 8. How tactful was I (honestly) when giving feedback or discussing a difficult situation? How can I improve?

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* 9. Did I articulate my opinion effectively and honestly? If so, how so?
If not, why not? What can I do to improve?

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* 10. Overall, what five things did I do right during this exchange?

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* 11. Overall, what five things can I improve on next time?

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* 12. How will you improve those 5 things?

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