Social Skills Assessment Form
Name:
Age:
Gender:
Male
Female
Other
Type of Disability:
Social Skills Assessment
Please rate the following statements on a scale of 1 to 5, where 1 is "Poor" and 5 is "Excellent."
Listening Skills:
1
2
3
4
5
Communication Skills:
1
2
3
4
5
Empathy:
1
2
3
4
5
Teamwork:
1
2
3
4
5
Problem Solving:
1
2
3
4
5