Study of the Stages of Psychotherapeutic Change, URICA Test - the question form
Questions: 32 · 6 minutes
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1. I have no personal problems that I need to work on.
1 – Strongly disagree
2 – Slightly agree
3 – Agree
4 – Strongly agree
5 – Very strongly agree
2. I think that I am ready to make some positive changes in myself now.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a considerable degree
4 – Applies strongly
5 – Applies very strongly
3. I am going to do something about the problems that concern me.
1 – Does not apply at all
2 – Applies very slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
4. It would be worthwhile to work on my problems.
1 – Does not apply at all
2 – Slightly applies
3 – Applies to a fair extent
4 – Applies strongly
5 – Applies very strongly
5. I do not have any problem, so being here does not make any sense to me.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
6. I am worried that the problem I have already partly overcome may return, so I am seeking help here.
1 – Not at all true
2 – Slightly true
3 – Moderately true
4 – Strongly true
5 – Very true
7. At last, I am taking action to deal with my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a considerable degree
4 – Applies strongly
5 – Applies very strongly
8. I have already been thinking about changing something about myself.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a sufficient degree
4 – Applies strongly
5 – Applies very much
9. I have already been working successfully on my problem, but I am not sure I have the strength to keep it up.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
10. Sometimes my problem is difficult, but I am working on it.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies a lot
5 – Applies very much
11. Being here is a waste of time for me because the problem does not apply to me.
1 – Does not apply at all
2 – Slightly applies
3 – Applies to a moderate degree
4 – Applies a lot
5 – Applies very strongly
12. I hope that being here will help me understand myself better.
1 – Does not apply at all
2 – Hardly applies
3 – Applies to a moderate extent
4 – Applies strongly
5 – Applies very strongly
13. I think I have some weaknesses, but there is nothing I really need to change.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
14. I am really working hard to change something about myself.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a moderate degree
4 – Applies strongly
5 – Applies very strongly
15. I have a problem, and I really think I should work on it.
1 – Strongly disagree
2 – Agree slightly
3 – Agree moderately
4 – Agree strongly
5 – Agree very strongly
16. The changes I have already made are not as easy to maintain as I had hoped, and I am here to prevent a return to how things were (relapse).
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
17. Even though I may not always be able to change myself, at least I am working on my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
18. I think I should have been free of my problem once I had resolved it, but sometimes I find myself having to deal with it again.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
19. I would like to have more ideas about how to solve my problem.
1 – Does not apply at all
2 – Applies only slightly
3 – Applies to a sufficient degree
4 – Applies strongly
5 – Applies very strongly
20. I am already working on my problem, but I would like help with it.
1 – Not at all true
2 – Slightly true
3 – Moderately true
4 – Mostly true
5 – Very much true
21. Maybe I can get help here.
1 – Does not apply at all
2 – Applies a little
3 – Applies to a moderate extent
4 – Applies a lot
5 – Applies very much
22. I probably need support right now to help me maintain what I have already achieved.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
23. I may have contributed to the problem in some way, but I do not really think so.
1 – Strongly disagree
2 – Disagree
3 – Neither agree nor disagree
4 – Agree
5 – Strongly agree
24. I hope someone here will give me good advice.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a moderate extent
4 – Applies a lot
5 – Applies very much
25. Anyone can say they want to change; I am actually doing something about it.
1 – Not at all
2 – Slightly
3 – Moderately
4 – Strongly
5 – Very strongly
26. All this talk about psychology is boring. People should just forget about their problems.
1 – Does not apply to me at all
2 – Applies to me slightly
3 – Applies to me to a moderate degree
4 – Applies to me strongly
5 – Applies to me very much
27. I am here to prevent a relapse (return) of my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
28. I worry that a problem I thought was already solved may come back again.
1 – Does not match at all
2 – Barely matches
3 – Matches to a sufficient degree
4 – Matches strongly
5 – Matches very strongly
29. I have concerns, but other people have them too, so there is no need to spend time thinking about them.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
30. I am actively working on my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very much
31. It would be better for me to learn to avoid my mistakes than to try to correct them afterward.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a moderate degree
4 – Applies strongly
5 – Applies very strongly
32. Despite everything I have done to change my problem, it still keeps coming back.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies a lot
5 – Applies very much
1. I do not have any personal problems that need to be worked on.
1 – Does not apply to me at all
2 – Applies to me slightly
3 – Applies to me to a considerable degree
4 – Applies to me strongly
5 – Applies to me very strongly
2. I think I am ready to make some positive changes in myself now.
1 – Does not apply to me at all
2 – Applies to me only slightly
3 – Applies to me to a sufficient degree
4 – Applies to me strongly
5 – Applies to me very strongly
3. I am going to do something about the problems that concern me.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a moderate degree
4 – Applies a lot
5 – Applies very much
4. I should work on my problems.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very much
5. I do not have any problem, so being here is not worthwhile for me.
1 – Does not apply to me at all
2 – Applies to me slightly
3 – Applies to me to a moderate extent
4 – Applies to me strongly
5 – Applies to me very much
6. I am worried that the problem I have partly dealt with may come back, so I am seeking help here.
1 – Does not apply at all
2 – Applies only slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
7. At last, I am working on my problem.
1 – Does not apply at all
2 – Slightly applies
3 – Moderately applies
4 – Applies a lot
5 – Applies very much
8. I have been thinking about changing something about myself.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
9. I have been working successfully on my problem, but I am not sure I can keep it up.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies a lot
5 – Applies very much
10. Sometimes my problem is difficult, but I am working on it.
1 – Does not apply to me at all
2 – Applies to me slightly
3 – Applies to me to a fair extent
4 – Applies to me a lot
5 – Applies to me very much
11. Being here is a waste of time for me because this problem does not apply to me.
1 – Does not apply at all
2 – Slightly applies
3 – Applies moderately
4 – Applies strongly
5 – Applies very much
12. I hope that being here will help me understand myself better.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a considerable degree
4 – Applies strongly
5 – Applies very strongly
13. I suppose I have some weaknesses, but there is nothing I really need to change.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly
4 – Applies a lot
5 – Applies very much
14. I am really working hard to change something about myself.
1 – Does not apply at all
2 – Slightly applies
3 – Moderately applies
4 – Applies a lot
5 – Applies very much
15. I have a problem, and I really think I should work on it.
1 – Not true at all
2 – Slightly true
3 – Moderately true
4 – Mostly true
5 – Very true
16. The changes I have already made are not as easy to maintain as I had hoped, and I am here to prevent a return to the way things were (relapse).
1 – Does not apply at all
2 – Slightly applies
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
17. Even though I may not always succeed in changing myself, at least I am working on my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies a lot
5 – Strongly applies
18. I think that once I have resolved my problem, I should be free of it, but sometimes I find myself having to struggle with it again.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a considerable degree
4 – Applies strongly
5 – Applies very strongly
19. I would like to have more ideas about how to solve my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a considerable degree
4 – Applies strongly
5 – Applies very strongly
20. I have already started working on my problem, but I would like help with it.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a moderate extent
4 – Applies strongly
5 – Applies very strongly
21. Maybe I can get help here.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
22. I probably need support right now to help me maintain what I have already achieved.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a reasonable degree
4 – Applies strongly
5 – Applies very strongly
23. Maybe I have contributed to the problem in some way, but I do not really think so.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
24. I hope someone here will give me good advice.
1 – Does not apply at all
2 – Hardly applies
3 – Applies to a moderate extent
4 – Applies strongly
5 – Applies very strongly
25. Anyone can say they want to change; I am actually doing something about it.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
26. All this talk about psychology is boring. People should just forget about their problems.
1 – Does not apply at all
2 – Applies slightly
3 – Applies to a fair degree
4 – Applies a lot
5 – Applies very much
27. I am here to prevent a relapse (return) of my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
28. I worry that a problem I thought was resolved may come back again.
1 – Does not apply at all
2 – Applies slightly
3 – Applies fairly well
4 – Applies strongly
5 – Applies very strongly
29. I have concerns, but other people do too, so there is no point in spending time thinking about them.
1 – Does not apply at all
2 – Barely applies
3 – Applies to a moderate extent
4 – Applies a lot
5 – Applies very much
30. I am actively working on my problem.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very strongly
31. I would rather learn to avoid my mistakes than have to correct them later.
1 – Does not apply at all
2 – Applies slightly
3 – Applies moderately
4 – Applies strongly
5 – Applies very much
32. Despite all I have done to change my problem, it still keeps coming back again and again.
1 – Not at all
2 – Slightly
3 – Moderately
4 – A lot
5 – Very much