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University of Rhode
Island Change
Assessment

Step 1 of 3

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 the statements, answer in terms of what you write on the "Habit/Study Problem” line below. There are FIVE possible responses to each of the items in the questionnaire: