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COUNTING THE CHANGE
Stages of Change Activity

COUNTING THE CHANGE QUESTIONAIRE
As the parent and teen, it is important to put aside any thoughts (and feelings) about right and wrong, good or bad, truth or error. For this module, act as if there are no "wrongs" or consequences to actions.

Section One: For the Teen

Read the following questions and check the one box that most accurately reflects how you feel about the question. If there are no answers that reflect exactly how you feel, simply choose and check the one that is closest.
1. When do you feel you will be ready to change your use of drugs or alcohol?
Never
Coming Months
Right Away
Already Started
Have Changed
2. What might help motivate you to begin or continue your change?
Nothing
See More of a Problem
See What is Needed
Help & Support
Understanding & Encouragement
3. How do you feel when someone pressures you to change?
Not Their Business
Bothers Me
Learning Experience
Share My Progress
That It's Tough
4. How do you feel when someone you trust offers to help you change?
Don't Talk About It
Makes Me Think
Encourages Change
I Welcome Their Help
I Use Their Help
5. What kind of help have you looked for regarding your drug or alcohol use?
None
Non-Biased Information
Info About Recovery
Help From Counselors
Support Groups
6. How do you feel about your personal "plan of action" regarding recovery?
Don't Need One
Don't Have One
I'm Working On It
Already Started It
Trying To Live It
7. How often do you think about the consequences of your use?
Hardly Ever
Once In A While
Semi - Regularly
Quite Often
All The Time
8. How often do you think about the benefits of use versus the consequences?
Mostly Benefits
About the Same
More About Consequences
Mostly Consequence
It's A Constant Struggle
9. How much of your social life has changed in your attempts to recover?
No Need To Change
Not Really Sure
Need More Change
It's Starting To Change
In Many Ways
10. Have you changed things in your life that have clearly reduced your need to use?
Stupid Question
Maybe Later
I'm Planning To
Yes, I have
I've Made Many



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