University of Rhode Island Change Assessment Scale
EACH STATEMENT BELOW DESCRIBES HOW A PERSON MIGHT FEEL WHEN STARTING TO WORK ON OR APPROACHING PROBLEMS IN THEIR LIVES. PLEASE INDICATE THE EXTENT TO WHICH YOU TEND TO AGREE OR DISAGREE WITH EACH STATEMENT. IN EACH CASE, MAKE YOUR CHOICE IN TERMS OF HOW YOU FEEL RIGHT NOW, NOT WHAT YOU HAVE FELT IN THE PAST OR WOULD LIKE TO FEEL. FOR ALL STATEMENTS THAT REFER TO YOUR "PROBLEM', ANSWER IN TERMS OF ISSUES RELATED TO WHY YOU ARE APPLYING FOR THE PROGRAM. THE WORDS "HERE" AND "THIS PLACE" REFER TO THE S2S PROGRAM.

THERE ARE FIVE POSSIBLE RESPONSES TO EACH OF THE ITEMS IN THE QUESTIONNAIRE:

1 = Strongly Disagree
2 = Disagree
3 = Undecided
4 = Agree
5 = Strongly Agree

SELECT THE OPTION THAT BEST DESCRIBES HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT.

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Strongly Disagree
Disagree
Undecided
Agree
Strongly Agree
1 - As far as I'm concerned, I don't have any problems that need changing.
2 - I think I might be ready for some self-improvement.
3 - I am doing something about the problems that had been bothering me.
4 - It might be worthwhile to work on my problem.
5 - I'm not the problem one, it doesn't make much sense for me to be here.
6 - It worries me that I might slip back on a problem I have already changed, so I am here to seek help.
7 - I am finally doing some work on my problems.
8 - I've been thinking that I might want to change something about myself.
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