University of RhodeIsland Change Assessment Please enable JavaScript in your browser to complete this form. - 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: Habit/Study Problem: *Next1. As far as I'm concerned, I don't have any habits that need changing. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree2. I think I might be ready for some self-improvement. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree3. I am doing something about the problems/habits that had been bothering me. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree4. It might be worthwhile to work on my problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree5. I don’t have a problem with organizing my time or studying. It doesn't make much sense for me to be here. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree6. It worries me that I might slip back on a problem I have already changed, so I am here to seek help. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree7. I am finally doing some work on my problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree8. I've been thinking that I might want to change something about myself. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree9. I have been successful in working on changing but I'm not sure I can keep up the effort on my own. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree10. At times my problem is difficult, but I'm working on it. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree11. Being here is pretty much a waste of time for me because the problem doesn't have to do with me. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree12. I'm hoping talking about changing my study skills will help me to better understand myself. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree13. I guess I have faults, but there's nothing that I really need to change. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree14. I am really working hard to change. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree15. I have a problem and I really think I should work at it. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree16. I'm not following through with what I had already changed as well as I had hoped, and I'm here to prevent a relapse of the problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree17. Even though I'm not always successful in changing, I am at least working on my problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree18. I thought once I had resolved my problem I would be free of it, but sometimes I still find myself struggling with it. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree19. I wish I had more ideas on how to solve the problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree20. I have started working on my problems but I would like help. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree21. Seeing a learning specialist may be a help to me. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree22. I may need a boost right now to help me maintain the changes I've already made. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree23. I may be part of the problem, but I don't really think I am. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree24. I hope that someone here will have some good advice for me. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree25. Anyone can talk about changing; I'm actually doing something about it. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree26. All this talk about learning styles and how to study in medical school is boring. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree27. I'm here to prevent myself from having a relapse of my problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree28. It is frustrating, but I feel I might be having a recurrence of a problem I thought I had resolved. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree29. I have worries/bad habits but so does the next guy. Why spend time thinking about them? *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree30. I am actively working on my problem. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree31. I would rather keep doing what I am doing than try to change them. *Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree32. After all I had done to try to change my problem, every now and again it comes back to haunt me. *Strongly DisagreeDisagreeUndecidedAgreeStrongly AgreePreviousNextFull Name *FirstLastEmail *Submit90340