Patient MBC ID:

The “problem” that is being referred to in this assessment is:

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. Be sure that you have discussed what “problem” you are referring to and that you and your counselor have discussed this. The words “here” and “this place” refer to whatever Hanley program you are participating in.

As far as I’m concerned, I don’t have any problems that need changing.

I am doing something about the problems that had been bothering me.

I’m not the problem one. It doesn’t make much sense for me to consider changing.

It worries me that I might slip back on a problem I have already changed, so I am looking for help.

I am finally doing some work on my problem.

I’ve been thinking that I might want to change something about myself.

At times my problem is difficult, but I’m working on it.

I think I might be ready for self improvement.

Trying to change is pretty much a waste of time for me because the problem doesn’t have to do with me.

I’m hoping that I be able to understand myself better.

I guess I have faults, but there’s nothing that I really need to change.

I am really working hard to change.

I have a problem and I really think I should work on it.

I’m not following through with what I had already changed as well as I had hoped, and I want to prevent a relapse of the problem.

Even though I’m not always successful in changing, I am at least working on my problem.

I thought once I had resolved the problem I would be free of it, but sometimes I still find myself struggling with it.

I wish I had more ideas on how to solve my problem.

Maybe someone or something will be able to help me.

I may need a boost right now to help me maintain the changes I’ve already made.

I may be part of the problem, but I don’t really think I am.

I hope that someone will have some good advice for me.

Anyone can talk about changing; I’m actually doing something about it.

All this talk about psychology is boring. Why can’t people just forget about their problems?

I’m struggling to prevent myself from having a relapse of my problem.

It is frustrating, but I feel I might be having a recurrence of a problem I thought I had resolved.

I have worries but so does the next guy. Why spend time thinking about them?

I am actively working on my problem.

After all I had done to try and change my problem, every now and then it come back to haunt me.

URICA