Active Listening Self-Assessment Question Title * 1. While someone is talking I plan how I'm going to respond. Usually Sometimes Rarely Question Title * 2. While someone is talking I keep eye contact with the speaker. Usually Sometimes Rarely Question Title * 3. While someone is talking I take notes as appropriate. Usually Sometimes Rarely Question Title * 4. While someone is talking I notice the feeling behind the words. Usually Sometimes Rarely Question Title * 5. While someone is talking I find myself thinking about other things while the person is talking. Usually Sometimes Rarely Question Title * 6. While someone is talking I face the person who is talking. Usually Sometimes Rarely Question Title * 7. While someone is talking I watch for significant body language (expressions, gestures). Usually Sometimes Rarely Question Title * 8. While someone is talking I control fidgeting or other distracting habits. Usually Sometimes Rarely Question Title * 9. While someone is talking I interrupt the speaker to make a point. Usually Sometimes Rarely Question Title * 10. While someone is talking I am distracted by other demands on my time. Usually Sometimes Rarely Question Title * 11. While someone is talking I listen to the message without immediately judging or evaluating it. Usually Sometimes Rarely Question Title * 12. While someone is talking I ask questions to get more information and encourage the speaker to continue. Usually Sometimes Rarely Question Title * 13. While someone is talking I repeat in my own words what I've just heard to ensure understanding. Usually Sometimes Rarely Done