Communication Assessment Guide: Appendix 3
Results Template
Name: ___________________________________ ID#: _______________________ Date: _____________________
Part I: Role Impressions Tasks
- Impression of Liked Other:
[Insert original participant response here]
Total Number of Concepts: ____________________
- Impression of Disliked Other:
[Insert original participant response here]
Total Number of Concepts: ____________________
Part I: Total Number of Concepts (A+B): ____________________
Percentile rank (Calculate if scoring a group of participant responses): ________________
Part II: Role Scenarios Tasks
- Response to Non-Clinical Group Project Situation:
[Insert original participant response here]
Category: ____________________
- Response to Disclosure Situation, Immediately After Event:
[Insert original participant response here]
Category: ____________________