Choosing Memento Vivere

Assertiveness Inventory

Assertiveness Inventory by Alberti & Emmons — 35 items identifying assertive, non-assertive, and aggressive response patterns across 4 domains.

For each question, rate how often the statement applies to you.

Your Name Client Code (provided by your therapist)

Question 1 of 35

When a person is highly unfair, do you call it to attention?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 2 of 35

Do you find it difficult to make decisions?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 3 of 35

Are you openly critical of others' ideas, opinions, behavior?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 4 of 35

Do you speak out in protest when someone takes your place in line?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 5 of 35

Do you often avoid people or situations for fear of embarrassment?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 6 of 35

Do you usually have confidence in your own judgment?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 7 of 35

Do you insist that your spouse or roommate take on a fair share of household chores?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 8 of 35

Are you prone to fly off the handle?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 9 of 35

When a salesperson makes an effort, do you find it hard to say No even though the merchandise is not what you want?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 10 of 35

When a latecomer is waited on before you, do you call attention to the situation?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 11 of 35

Are you reluctant to speak up in a discussion or debate?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 12 of 35

If a person has borrowed something and is overdue in returning it, do you mention it?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 13 of 35

Do you continue to pursue an argument after the other person has had enough?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 14 of 35

Do you generally express what you feel?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 15 of 35

Are you disturbed if someone watches you at work?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 16 of 35

If someone keeps kicking your chair in a movie, do you ask them to stop?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 17 of 35

Do you find it difficult to keep eye contact when talking to another person?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 18 of 35

In a restaurant, when your meal is improperly prepared, do you ask the waiter to correct it?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 19 of 35

When you discover faulty merchandise, do you return it for adjustment?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 20 of 35

Do you show your anger by name-calling or obscenities?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 21 of 35

Do you try to be a wallflower in social situations?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 22 of 35

Do you insist that your property manager make repairs that are their responsibility?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 23 of 35

Do you often step in and make decisions for others?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 24 of 35

Are you able to express love and affection openly?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 25 of 35

Are you able to ask your friends for small favors or help?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 26 of 35

Do you think you always have the right answer?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 27 of 35

When you differ with someone you respect, are you able to speak up for your viewpoint?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 28 of 35

Are you able to refuse unreasonable requests made by friends?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 29 of 35

Do you have difficulty complimenting or praising others?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 30 of 35

If disturbed by someone smoking near you, can you say so?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 31 of 35

Do you shout or use bullying tactics to get others to do as you wish?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 32 of 35

Do you finish other people's sentences for them?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 33 of 35

Do you get into physical fights with others, especially strangers?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 34 of 35

At family meals, do you control the conversation?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Question 35 of 35

When you meet a stranger, are you the first to introduce yourself and begin a conversation?

Never/No Sometimes/Somewhat Usually/A Good Deal Almost Always/Entirely

Your responses are confidential.

Thank you

Your assessment has been recorded.

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© 2026 Jonathan Procter, Ph.D., LMHC — Choosing Memento Vivere

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