Social Confidence Questionnaire Step 1 of 5 20% Please take the time to complete this questionnaire. This will give me the opportunity to learn more about you, but more importantly, it will allow you to learn more about yourself. The whole purpose of our relationship together is to put you in the position of feeling good about your interactions and connections with people. So, take your time, be honest, and enjoy the process as you learn more about yourself that will enable you to have better perspective and more meaningful relationships with others. The following are questions I want you to think about as we continue to work together. First, please fill out your basic info.Name* First Last Gender*MenWomenEmail* Age*Please enter a number greater than or equal to 18. What do you want to get out of our working together?Describe the type of work you do.Are you happy? What do you want to achieve professionally? Do you take any actions on a daily basis to get you there? What stops you from achieving you professional dreams?Describe the type of people you want to meet.Describe who you are.Be honest as you list all your positive and negative traits. Make sure you describe what you think you look like. It is important to know yourself and learn how you think others perceive you.Over the next 2 weeks, instead of looking at people that are attracted to you, start noticing the people who are looking at you.Ask at least 3 people of the opposite sex what type of image you project.Be sure to take detailed notes so you can get a complete picture of the image you project so you can compare it to what you think you project.Make a list of all the ways and/or places you try to meet people over the course of a one-month period.Using a scale of 1- 5 (1= poor, 5 = excellent), rate each way/place.Daily RoutineNow write in detail your daily routine and tell me if in this “routine” you see people you want to talk to. Write down a description of one of these people you want to meet and this will allow you to train your mind to let such a person to come into your life.Write down all the excuses (“reasons”) you use that prevents you from approaching the people you are interested in meeting.Where would you like to meet more people?In which way do you feel more comfortable meeting someone for the first time?In a group settingBy yourself Do you consider yourself successful? What is your definition of “success”?Do you consider yourself happy or fulfilled?YesNoWhy not? What is missing?Do you like your wardrobe? What do you like/dislike about it?Do you feel good about your body? Why or why not?Do you like your hair? Why or why not?Do you like your height? Why or why not?Do you have good friends? Who is your best friend? Why is that person your best friend?If you could change one thing about you, what would it be?Where do you like to be seen? Why?Do you consider yourself approachable? Why or why not?Do you consider yourself a generous person? Why or why not? Do you think you are a good listener? Why or why not?What percentage of conversations do you listen vs. talk?What phase(s) in conversations do you find difficult? Initiation — approaching someone or being approached Engagement & Sustainability — how long a conversation lasts Meaningful Connection — your ability to really connect where they want to see you again and follow up What is the average length of time you talk with someone in a social setting?How would you describe your body language when interacting with someone? (i.e. stiff, guarded, negative, open, etc.)How quickly do you judge others?How well do you take criticism? Your FeedbackAs we continue to work together, I would like to make this as productive as possible for you. Please let me know what other areas you think would be helpful to explore.