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One conversation.
Five small moves.

Use this original worksheet alongside the five-move sequence in Assertive Communication. Your entries stay in this page’s memory; they are not submitted or saved by the site. Avoid entering confidential workplace information. Print or save as PDF to keep a copy before leaving.

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Practice concepts adapted from Clayton Blackshear’s Assertive Communication: The 30-Day Speak-Up Method, first edition (2026). Examples on this page are original illustrations, not real conversations. These are educational practices, not guaranteed outcomes.