Understanding change

Hello, we are Jump in Puddles.

We are working with Dorothy House to understand how we can support the process of strategic change across the organisation.

We have put together a survey which will take between 5 - 10 minutes to complete. It is made up for 5 key change areas with related statements that you will be asked to score, using an appropriate scale ie 0 strongly disagree - 5 agree.

Thank you for taking the time to complete the questions.

We look forward to meeting you soon.

Janine and Helen

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* 1. Please select your team within Dorothy House

Clinical/social

Enabling

Exec

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* 2. Below are some statements about feelings and thoughts. Please tick the box that best describes your experience over the last 2 weeks:

	None of the time	Rarely	Some of the time	Often	All of the time
I've been feeling optimistic about the future	I've been feeling optimistic about the future None of the time	I've been feeling optimistic about the future Rarely	I've been feeling optimistic about the future Some of the time	I've been feeling optimistic about the future Often	I've been feeling optimistic about the future All of the time
I've been feeling useful	I've been feeling useful None of the time	I've been feeling useful Rarely	I've been feeling useful Some of the time	I've been feeling useful Often	I've been feeling useful All of the time
I've been feeling relaxed	I've been feeling relaxed None of the time	I've been feeling relaxed Rarely	I've been feeling relaxed Some of the time	I've been feeling relaxed Often	I've been feeling relaxed All of the time
I've been feeling interested in other people	I've been feeling interested in other people None of the time	I've been feeling interested in other people Rarely	I've been feeling interested in other people Some of the time	I've been feeling interested in other people Often	I've been feeling interested in other people All of the time
I've had energy to spare	I've had energy to spare None of the time	I've had energy to spare Rarely	I've had energy to spare Some of the time	I've had energy to spare Often	I've had energy to spare All of the time
I've been dealing with problems well	I've been dealing with problems well None of the time	I've been dealing with problems well Rarely	I've been dealing with problems well Some of the time	I've been dealing with problems well Often	I've been dealing with problems well All of the time
I've been thinking clearly	I've been thinking clearly None of the time	I've been thinking clearly Rarely	I've been thinking clearly Some of the time	I've been thinking clearly Often	I've been thinking clearly All of the time
I've been feeling good about myself	I've been feeling good about myself None of the time	I've been feeling good about myself Rarely	I've been feeling good about myself Some of the time	I've been feeling good about myself Often	I've been feeling good about myself All of the time
I've been feeling close to other people	I've been feeling close to other people None of the time	I've been feeling close to other people Rarely	I've been feeling close to other people Some of the time	I've been feeling close to other people Often	I've been feeling close to other people All of the time
I've been feeling confident	I've been feeling confident None of the time	I've been feeling confident Rarely	I've been feeling confident Some of the time	I've been feeling confident Often	I've been feeling confident All of the time
I've been able to make my mind up about things	I've been able to make my mind up about things None of the time	I've been able to make my mind up about things Rarely	I've been able to make my mind up about things Some of the time	I've been able to make my mind up about things Often	I've been able to make my mind up about things All of the time
I've been interested in new things	I've been interested in new things None of the time	I've been interested in new things Rarely	I've been interested in new things Some of the time	I've been interested in new things Often	I've been interested in new things All of the time
I've been feeling cheerful	I've been feeling cheerful None of the time	I've been feeling cheerful Rarely	I've been feeling cheerful Some of the time	I've been feeling cheerful Often	I've been feeling cheerful All of the time

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* 3. Below are statements about reactions. On a scale of 1 – 5, where 1 is strongly disagree and 5 is strongly agree, rate the following statements against how you generally feel:

	1	2	3	4	5
I tend to bounce back quickly after hard times	I tend to bounce back quickly after hard times 1	I tend to bounce back quickly after hard times 2	I tend to bounce back quickly after hard times 3	I tend to bounce back quickly after hard times 4	I tend to bounce back quickly after hard times 5
I don't have a hard time making it through stressful events	I don't have a hard time making it through stressful events 1	I don't have a hard time making it through stressful events 2	I don't have a hard time making it through stressful events 3	I don't have a hard time making it through stressful events 4	I don't have a hard time making it through stressful events 5
It does not take me long to recover from a stressful event	It does not take me long to recover from a stressful event 1	It does not take me long to recover from a stressful event 2	It does not take me long to recover from a stressful event 3	It does not take me long to recover from a stressful event 4	It does not take me long to recover from a stressful event 5
I snap back quickly when something bad happens	I snap back quickly when something bad happens 1	I snap back quickly when something bad happens 2	I snap back quickly when something bad happens 3	I snap back quickly when something bad happens 4	I snap back quickly when something bad happens 5
I usually come through difficult times with little trouble	I usually come through difficult times with little trouble 1	I usually come through difficult times with little trouble 2	I usually come through difficult times with little trouble 3	I usually come through difficult times with little trouble 4	I usually come through difficult times with little trouble 5
I don't take a long time to get over setbacks in my life	I don't take a long time to get over setbacks in my life 1	I don't take a long time to get over setbacks in my life 2	I don't take a long time to get over setbacks in my life 3	I don't take a long time to get over setbacks in my life 4	I don't take a long time to get over setbacks in my life 5

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* 4. Below are statements about change. On a scale of 0 – 5, where 0 is strongly disagree and 5 is strongly agree, rate the following statements against how you generally feel:

	0	1	2	3	4	5
I can tell when I am ready to make specific changes in myself	I can tell when I am ready to make specific changes in myself 0	I can tell when I am ready to make specific changes in myself 1	I can tell when I am ready to make specific changes in myself 2	I can tell when I am ready to make specific changes in myself 3	I can tell when I am ready to make specific changes in myself 4	I can tell when I am ready to make specific changes in myself 5
I figure out what I need to change about myself	I figure out what I need to change about myself 0	I figure out what I need to change about myself 1	I figure out what I need to change about myself 2	I figure out what I need to change about myself 3	I figure out what I need to change about myself 4	I figure out what I need to change about myself 5
I know when I need to make a specific change in myself	I know when I need to make a specific change in myself 0	I know when I need to make a specific change in myself 1	I know when I need to make a specific change in myself 2	I know when I need to make a specific change in myself 3	I know when I need to make a specific change in myself 4	I know when I need to make a specific change in myself 5
I know when it’s time to change specific things about myself	I know when it’s time to change specific things about myself 0	I know when it’s time to change specific things about myself 1	I know when it’s time to change specific things about myself 2	I know when it’s time to change specific things about myself 3	I know when it’s time to change specific things about myself 4	I know when it’s time to change specific things about myself 5
I ask for help when I try to change myself	I ask for help when I try to change myself 0	I ask for help when I try to change myself 1	I ask for help when I try to change myself 2	I ask for help when I try to change myself 3	I ask for help when I try to change myself 4	I ask for help when I try to change myself 5
I use resources when I try to grow	I use resources when I try to grow 0	I use resources when I try to grow 1	I use resources when I try to grow 2	I use resources when I try to grow 3	I use resources when I try to grow 4	I use resources when I try to grow 5
I actively seek out help when I try to change myself	I actively seek out help when I try to change myself 0	I actively seek out help when I try to change myself 1	I actively seek out help when I try to change myself 2	I actively seek out help when I try to change myself 3	I actively seek out help when I try to change myself 4	I actively seek out help when I try to change myself 5
I take every opportunity to grow as it comes up	I take every opportunity to grow as it comes up 0	I take every opportunity to grow as it comes up 1	I take every opportunity to grow as it comes up 2	I take every opportunity to grow as it comes up 3	I take every opportunity to grow as it comes up 4	I take every opportunity to grow as it comes up 5
I actively work to improve myself	I actively work to improve myself 0	I actively work to improve myself 1	I actively work to improve myself 2	I actively work to improve myself 3	I actively work to improve myself 4	I actively work to improve myself 5
I am constantly trying to grow as a person	I am constantly trying to grow as a person 0	I am constantly trying to grow as a person 1	I am constantly trying to grow as a person 2	I am constantly trying to grow as a person 3	I am constantly trying to grow as a person 4	I am constantly trying to grow as a person 5
I look for opportunities to grow as a person	I look for opportunities to grow as a person 0	I look for opportunities to grow as a person 1	I look for opportunities to grow as a person 2	I look for opportunities to grow as a person 3	I look for opportunities to grow as a person 4	I look for opportunities to grow as a person 5
I set realistic goals for what I want to change about myself	I set realistic goals for what I want to change about myself 0	I set realistic goals for what I want to change about myself 1	I set realistic goals for what I want to change about myself 2	I set realistic goals for what I want to change about myself 3	I set realistic goals for what I want to change about myself 4	I set realistic goals for what I want to change about myself 5
I know how to make a realistic plan in order to change myself	I know how to make a realistic plan in order to change myself 0	I know how to make a realistic plan in order to change myself 1	I know how to make a realistic plan in order to change myself 2	I know how to make a realistic plan in order to change myself 3	I know how to make a realistic plan in order to change myself 4	I know how to make a realistic plan in order to change myself 5
When I try to change myself‚ I make a realistic plan for my personal growth	When I try to change myself‚ I make a realistic plan for my personal growth 0	When I try to change myself‚ I make a realistic plan for my personal growth 1	When I try to change myself‚ I make a realistic plan for my personal growth 2	When I try to change myself‚ I make a realistic plan for my personal growth 3	When I try to change myself‚ I make a realistic plan for my personal growth 4	When I try to change myself‚ I make a realistic plan for my personal growth 5
I know how to set realistic goals to make changes in myself	I know how to set realistic goals to make changes in myself 0	I know how to set realistic goals to make changes in myself 1	I know how to set realistic goals to make changes in myself 2	I know how to set realistic goals to make changes in myself 3	I know how to set realistic goals to make changes in myself 4	I know how to set realistic goals to make changes in myself 5
I know steps I can take to make intentional changes in myself	I know steps I can take to make intentional changes in myself 0	I know steps I can take to make intentional changes in myself 1	I know steps I can take to make intentional changes in myself 2	I know steps I can take to make intentional changes in myself 3	I know steps I can take to make intentional changes in myself 4	I know steps I can take to make intentional changes in myself 5

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* 5. Below are statements about attitudes and actions. On a scale of 1 – 5, where 1 is strongly disagree and 5 is strongly agree, please rate the following statements:

	1	2	3	4	5
I am motivated to understand more about wellbeing and actively manage it	I am motivated to understand more about wellbeing and actively manage it 1	I am motivated to understand more about wellbeing and actively manage it 2	I am motivated to understand more about wellbeing and actively manage it 3	I am motivated to understand more about wellbeing and actively manage it 4	I am motivated to understand more about wellbeing and actively manage it 5
I am motivated to plan for the future so I can make the right choices	I am motivated to plan for the future so I can make the right choices 1	I am motivated to plan for the future so I can make the right choices 2	I am motivated to plan for the future so I can make the right choices 3	I am motivated to plan for the future so I can make the right choices 4	I am motivated to plan for the future so I can make the right choices 5
I am motivated to influence issues that are important to me	I am motivated to influence issues that are important to me 1	I am motivated to influence issues that are important to me 2	I am motivated to influence issues that are important to me 3	I am motivated to influence issues that are important to me 4	I am motivated to influence issues that are important to me 5
I have the right balance in my life to achieve what’s important to me	I have the right balance in my life to achieve what’s important to me 1	I have the right balance in my life to achieve what’s important to me 2	I have the right balance in my life to achieve what’s important to me 3	I have the right balance in my life to achieve what’s important to me 4	I have the right balance in my life to achieve what’s important to me 5
I can name the values I want to live by	I can name the values I want to live by 1	I can name the values I want to live by 2	I can name the values I want to live by 3	I can name the values I want to live by 4	I can name the values I want to live by 5
I regularly create the space and time to reflect on what’s important to me	I regularly create the space and time to reflect on what’s important to me 1	I regularly create the space and time to reflect on what’s important to me 2	I regularly create the space and time to reflect on what’s important to me 3	I regularly create the space and time to reflect on what’s important to me 4	I regularly create the space and time to reflect on what’s important to me 5
I am motivated to listen to, read or watch things that expose me to different perspectives	I am motivated to listen to, read or watch things that expose me to different perspectives 1	I am motivated to listen to, read or watch things that expose me to different perspectives 2	I am motivated to listen to, read or watch things that expose me to different perspectives 3	I am motivated to listen to, read or watch things that expose me to different perspectives 4	I am motivated to listen to, read or watch things that expose me to different perspectives 5
I know what I feel passionate about	I know what I feel passionate about 1	I know what I feel passionate about 2	I know what I feel passionate about 3	I know what I feel passionate about 4	I know what I feel passionate about 5
I can name all of my qualities	I can name all of my qualities 1	I can name all of my qualities 2	I can name all of my qualities 3	I can name all of my qualities 4	I can name all of my qualities 5
I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP	I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP 1	I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP 2	I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP 3	I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP 4	I am able to have constructive conversations with people who can help me achieve something that’s important to me e.g. GP 5
I can name the people in my life who make me happy and those who don’t	I can name the people in my life who make me happy and those who don’t 1	I can name the people in my life who make me happy and those who don’t 2	I can name the people in my life who make me happy and those who don’t 3	I can name the people in my life who make me happy and those who don’t 4	I can name the people in my life who make me happy and those who don’t 5
I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me	I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me 1	I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me 2	I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me 3	I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me 4	I am able to have constructive conversations with people I am close to, who are challenging something that’s important to me 5
There are people in my life who make time to listen to me when I need someone to talk to	There are people in my life who make time to listen to me when I need someone to talk to 1	There are people in my life who make time to listen to me when I need someone to talk to 2	There are people in my life who make time to listen to me when I need someone to talk to 3	There are people in my life who make time to listen to me when I need someone to talk to 4	There are people in my life who make time to listen to me when I need someone to talk to 5
I can recognise when I need the support of others	I can recognise when I need the support of others 1	I can recognise when I need the support of others 2	I can recognise when I need the support of others 3	I can recognise when I need the support of others 4	I can recognise when I need the support of others 5
I am interested in others around me including people who hold different beliefs	I am interested in others around me including people who hold different beliefs 1	I am interested in others around me including people who hold different beliefs 2	I am interested in others around me including people who hold different beliefs 3	I am interested in others around me including people who hold different beliefs 4	I am interested in others around me including people who hold different beliefs 5
I know what my purpose in life is	I know what my purpose in life is 1	I know what my purpose in life is 2	I know what my purpose in life is 3	I know what my purpose in life is 4	I know what my purpose in life is 5

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* 6. Below are statements about actions. For the following items, please identify how often you usually engage with them.

	Never/Almost Never	Less than monthly	1 - 3 times a month	1 -2 times a week	Everyday/Almost everyday
Spend 30 minutes playing sports or physical exercise	Spend 30 minutes playing sports or physical exercise Never/Almost Never	Spend 30 minutes playing sports or physical exercise Less than monthly	Spend 30 minutes playing sports or physical exercise 1 - 3 times a month	Spend 30 minutes playing sports or physical exercise 1 -2 times a week	Spend 30 minutes playing sports or physical exercise Everyday/Almost everyday
Spend 15 minutes walking or cycling	Spend 15 minutes walking or cycling Never/Almost Never	Spend 15 minutes walking or cycling Less than monthly	Spend 15 minutes walking or cycling 1 - 3 times a month	Spend 15 minutes walking or cycling 1 -2 times a week	Spend 15 minutes walking or cycling Everyday/Almost everyday
Attend courses of some kind	Attend courses of some kind Never/Almost Never	Attend courses of some kind Less than monthly	Attend courses of some kind 1 - 3 times a month	Attend courses of some kind 1 -2 times a week	Attend courses of some kind Everyday/Almost everyday
Spend time informally learning about something new	Spend time informally learning about something new Never/Almost Never	Spend time informally learning about something new Less than monthly	Spend time informally learning about something new 1 - 3 times a month	Spend time informally learning about something new 1 -2 times a week	Spend time informally learning about something new Everyday/Almost everyday
Notice and appreciate the little things in life	Notice and appreciate the little things in life Never/Almost Never	Notice and appreciate the little things in life Less than monthly	Notice and appreciate the little things in life 1 - 3 times a month	Notice and appreciate the little things in life 1 -2 times a week	Notice and appreciate the little things in life Everyday/Almost everyday
Laugh and see the funny side of things	Laugh and see the funny side of things Never/Almost Never	Laugh and see the funny side of things Less than monthly	Laugh and see the funny side of things 1 - 3 times a month	Laugh and see the funny side of things 1 -2 times a week	Laugh and see the funny side of things Everyday/Almost everyday
Catch up socially with friends, relatives or work colleagues	Catch up socially with friends, relatives or work colleagues Never/Almost Never	Catch up socially with friends, relatives or work colleagues Less than monthly	Catch up socially with friends, relatives or work colleagues 1 - 3 times a month	Catch up socially with friends, relatives or work colleagues 1 -2 times a week	Catch up socially with friends, relatives or work colleagues Everyday/Almost everyday
Engage with social activities of a club, society or association	Engage with social activities of a club, society or association Never/Almost Never	Engage with social activities of a club, society or association Less than monthly	Engage with social activities of a club, society or association 1 - 3 times a month	Engage with social activities of a club, society or association 1 -2 times a week	Engage with social activities of a club, society or association Everyday/Almost everyday
Help out informally with friends or neighbours	Help out informally with friends or neighbours Never/Almost Never	Help out informally with friends or neighbours Less than monthly	Help out informally with friends or neighbours 1 - 3 times a month	Help out informally with friends or neighbours 1 -2 times a week	Help out informally with friends or neighbours Everyday/Almost everyday
Get involved in work for voluntary or charitable organisations	Get involved in work for voluntary or charitable organisations Never/Almost Never	Get involved in work for voluntary or charitable organisations Less than monthly	Get involved in work for voluntary or charitable organisations 1 - 3 times a month	Get involved in work for voluntary or charitable organisations 1 -2 times a week	Get involved in work for voluntary or charitable organisations Everyday/Almost everyday