Home > SATOE
PLEASE
READ!
These SATOE pages are no longer active and are for Archive purposes only.
These SATOE pages are no longer active and are for Archive purposes only.
|
Home > SATOE |
PLEASE
READ! These SATOE pages are no longer active and are for Archive purposes only. |
i. the
SATOE model
ii. graphic
illustration of the model
iii. brief
history of the SATOE model
iv. components
of the SATOE model
v. virginia
motivational interviewing component
vi. URICA
ID#: _______________________________
DATE: _______________________________
This questionnaire is to help us improve services. Each statement describes how a person might feel when starting therapy 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 the statements that refer to your "problem," answer in terms of what you write on the "PROBLEM" line below. In these questions, the word "here" refers to this program.
[Upon completion of this assessment, you may compute your "Single Continuum Readiness to Change" score ].
PROBLEM: ___________________________________________________________________
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
Circle the response that best describes how much you agree or disagree with each statement.
1. As far as I am concerned, I don't have any problem that needs changing.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
2. I think I might be ready for some self-improvement.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
3. I am doing something about the problems that have been bothering me.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
4. It might be worthwhile to work on my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
5. I am not the one with a problem. It doesn't make much sense for me to be here.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
6. It worries me that I might slip back on a problem I have already changed, so I am here to seek help.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
7. I am finally doing some work on my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
8. I've been thinking that I might want to change something about myself.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
9. I have been successful in working on my problem, but I'm not sure I can keep up the effort on my own.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
10. At times my problem is difficult, but I'm working on it.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
11. Being here is pretty much of a waste of time for me because the problem doesn't have to do with me.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
12. I'm hoping this place will help me to better understand myself.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
13. I guess I have faults, but there is nothing that I really need to change.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
14. I am really working hard to change.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
15. I have a problem and I really think I should work on it.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
16. 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.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
17. Even though I'm not always successful in changing, I am at least working on my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
18. I thought once I had resolved the problem I would be free of it, but sometimes I still find myself struggling with it.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
19. I wish I had more ideas on how to solve my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
20. I have started working on my problems, but I would like help.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
21. Maybe this place will be able to help me.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
22. I may need a boost right now to help me maintain the changes I've already made.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
23. I may be part of the problem, but I don't really think I am.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
24. I hope that someone here will have some good advice for me.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
25. Anyone can talk about changing; I'm actually doing something about it.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
26. All this talk about psychology is boring. Why can't people just forget about their problems?
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
27. I'm here to prevent myself from having a relapse of my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
28. It is frustrating, but I feel I might be having a recurrence of a problem I thought I had resolved.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
29. I have worries but so does the next guy. Why spend time thinking about them?
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
30. I am actively working on my problem.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
31. I would rather cope with my faults than try to change them.
1
2
3
4 5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
32. After all I have done to try to change my problem, every now and again it comes back to haunt me.
1
2
3 4
5
Strongly Disagree Undecided Agree
Strongly
Disagree
Agree
URICA scoring