Conversations with Others Questionnaire

Name of the individual

Enter the name of a regular conversation partner (e.g. spouse, child, friend, colleague, mentor).

1. I trust the person

1 2 3 4 5 6 7 8 9 10

2. I feel respected by them

1 2 3 4 5 6 7 8 9 10

3. They do not judge me and accept me for who I am

1 2 3 4 5 6 7 8 9 10

4. They understand me and what I need from them

1 2 3 4 5 6 7 8 9 10

5. They have the ideas, knowledge and skills I need

1 2 3 4 5 6 7 8 9 10

6. They believe in me and my potential for change

1 2 3 4 5 6 7 8 9 10

7. Our conversations follow my agenda, not theirs

1 2 3 4 5 6 7 8 9 10

8. They give me the time I need

1 2 3 4 5 6 7 8 9 10

9. They respect my need for confidentiality

1 2 3 4 5 6 7 8 9 10

10. I can say what I really want to them

1 2 3 4 5 6 7 8 9 10

11. They help me make sense of my situation

1 2 3 4 5 6 7 8 9 10

12. They keep me focused

1 2 3 4 5 6 7 8 9 10

13. They help me find solutions to my problems

1 2 3 4 5 6 7 8 9 10

14. I feel challenged by them in a good way

1 2 3 4 5 6 7 8 9 10

15. I feel they genuinely listen to me

1 2 3 4 5 6 7 8 9 10

16. They are truly interested in me

1 2 3 4 5 6 7 8 9 10

17. They help me set clear, realistic goals and strategies

1 2 3 4 5 6 7 8 9 10

18. My conversations with them make a difference

1 2 3 4 5 6 7 8 9 10

19. They keep me accountable

1 2 3 4 5 6 7 8 9 10

20. They have the X-Factor

1 2 3 4 5 6 7 8 9 10

Conversations with Others Questionnaire

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Conversations with Others Questionnaire

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