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Directions: Indicate how you feel each statement relates to our listening habits on the job by placing an X in the blink space which indicates what YOU do as a listener. For example: I think about how m staff might react to what is said. Always __ __ _x_ __ __ __ __ Never 1. I separate personal problems from m professional difficulties when listening to my staff. Always __ __ __ __ __ __ __ Never 2. I know what the staff member will say before it is said. Always __ __ __ __ __ __ __ Never 3. I say something when listening to staff members to show I understand. Always __ __ __ __ __ __ __ Never 4. I ask my staff what words mean when they are used in unfamiliar ways. Always __ __ __ __ __ __ __ Never 5. I watch for tones and gestures to help me understand what staff members are trying to tell me. Always __ __ __ __ __ __ __ Never 6. I make eye contact when I am listening. Always __ __ __ __ __ __ __ Never 7. I view listening to my staff as important as getting the job done. Always __ __ __ __ __ __ __ Never 8. I am friendly and approachable. Always __ __ __ __ __ __ __ Never 9. I listen to every word in order to get the main ideas my staff are trying to communicate. Always __ __ __ __ __ __ __ Never 10. I take time to listen to staff members. Always __ __ __ __ __ __ __ Never 11. I try to describe the feelings staff members are showing when they talk with me. Always __ __ __ __ __ __ __ Never 12. It is easier for me to listen to staff members who have similar views. Always __ __ __ __ __ __ __ Never 13. I am willing to listen to staff concerns when they dont require my action. Always __ __ __ __ __ __ __ Never 14. I ask simple questions when listening to clarify what staff members are saying. Always __ __ __ __ __ __ __ Never 15. I recall significant details of conversations with my staff. Always __ __ __ __ __ __ __ Never 16. I give staff members straight forward information in response to their questions. Always __ __ __ __ __ __ __ Never

17. I am non-judgmental and non-critical. Always __ __ __ __ __ __ __ Never 18. I listen with a great deal of concentration and thoughtfulness. Always __ __ __ __ __ __ __ Never 19. I try to think of points to contribute while staff members are speaking. Always __ __ __ __ __ __ __ Never 20. I hide any disapproval I feel when listening to staff members. Always __ __ __ __ __ __ __ Never 21. I tell staff when I dont have time to listen. Always __ __ __ __ __ __ __ Never 22. I pretend to listen to staff members even no concentrating on their concerns. Always __ __ __ __ __ __ __ Never 23. I find it difficult to keep my personal reactions in line when listening. Always __ __ __ __ __ __ __ Never 24. I restate what I hear a staff members say when he or she is finished speaking. Always __ __ __ __ __ __ __ Never 25. My listening effects staffs members behavior. Always __ __ __ __ __ __ __ Never 26. I remember relevant details of past conversations when staff members bring their particular concerns. Always __ __ __ __ __ __ __ Never 27. I discriminate fact from opinion. Always __ __ __ __ __ __ __ Never 28. I express my ideas or opinions during conversations with staff members. Always __ __ __ __ __ __ __ Never 29. I use positive nonverbal expressions when listening to my staff. Always __ __ __ __ __ __ __ Never 30. I evaluate a staff members creditability when listening. Always __ __ __ __ __ __ __ Never 31. I try to make staff members feel at ease when talking with me. Always __ __ __ __ __ __ __ Never 32. I eliminate outside interruptions or distractions when listening to my staff. Always __ __ __ __ __ __ __ Never 33. I analyze what is said to determine facts. Always __ __ __ __ __ __ __ Never 34. I take note of how a staff member uses words. Always __ __ __ __ __ __ __ Never 35. I sit where I can easily listen to a staff member. Always __ __ __ __ __ __ __ Never 36. I make positive verbal statements when listening to my staff. Always __ __ __ __ __ __ __ Never 37. I try to anticipate what a staff member will say next.

Always __ __ __ __ __ __ __ Never 38. I ask clarifying questions during conversations with staff members. Always __ __ __ __ __ __ __ Never 39. I listen for consistency, in facts and logic, when staff members talk. Always __ __ __ __ __ __ __ Never 40. I take notes when listening. Always __ __ __ __ __ __ __ Never Please Indicate: Sex: Last year of formal education completed: Level of formal education completed: Thank you for taking the time to answer these questions. Your responses are greatly appreciated!

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