Participant Overview - Miss Amazing

Name*

First Last

Email*

Birthdate*

Age*

Street Address*

Address Line 2

City*

State*

Zip Code*

Special Qualities*

Hobbies*

Future Goals and Ambitions*

Skills

Miss Amazing Inc. hopes to improve and enhance the skill sets of all young ladies within the program. In order to develop skills, your honest feedback on the following questions is important. Please know that we realize some questions will be easier to answer than others as everyone exhibits skills differently based on her abilities. Please answer these to the best of your ability.

Eye Contact in a Conversation*

At this point in time, during conversations with new people, the participant

Stares at the floor
Looks around the room
Glances in the direction of the other person
Occasionally makes eye contact with the other person
Maintains eye contact

Participation in a Conversation*

At this point in time, during conversations with new people, the participant

Does not engage in conversation with any new people
Gives one-word answers to questions
Talks only about what interest her
Asks about the other person's interests if prompted
Has a reciprocating conversation

Enunciation onstage and in a conversation*

At this point in time, when introducing herself onstage and communicating in a conversation with a new person, the participant

Enunciates all of her words
Enunciates some of her words
Enunciates most of her words
Uses a communication device or a representative to communicate

Volume when engaging in a conversation*

At this point in time, during conversations with new people, the participant

Is inaudible
Speaks very softly
Speaks at an appropriate volume to be heard in the respective setting
Uses a communication device or a representative to communicate

Volume when introducing herself onstage*

At this point in time, when introducing herself onstage and communicating in a conversation with a new person, the participant

Is inaudible
Speaks very softly
Speaks at an appropriate volume to be heard in the respective setting
Uses a communication device or a representative to communicate

Willingness to introduce herself onstage*

At this point in time, when introducing herself onstage and communicating in a conversation with a new person, the participant

Refuses to go onstage
Does not talk or communicate when she is onstage
Talks or communicates only if she is prompted
Willingly talks or communicates onstage

Connection with an audience when onstage*

At this point in time, when presenting herself onstage, the participant

Stares at the floor
Looks at the audience but does not smile while doing so
Looks at the audience and smiles while doing so

Posture when onstage*

At this point in time, when presenting herself onstage, the participant

Stands or sits up straight
Does not stand or sit up straight
The participant uses a reclined wheelchair
Other

Phone

This field is for validation purposes and should be left unchanged.