Leven is COMMUNICEREN is Leven Leven IS communiceren | Page 177

BIJLAGE 1 : URICA

URICA (Long Form) - (University of Rhode Island Change Assessment)
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
Problem:
_________________________________________________________
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 already changed, so
I am here to seek help
7. I am finally doing some work on my problem.
8. I've been thinking that I might want to change something about
myself.
9. I have been successful in working on my problem but I'm not sure I
can keep up the effort.
10. At times my problem is difficult, but I'm working on it.

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