INSTRUCTIONS: Using the scale below, click the number which best describes the extent to which you agree or disagree with each statement.

1 = Definitely disagree
2 = Mostly disagree
3 = Somewhat disagree
4 = Somewhat agree
5 = Mostly agree
6 = Definitely agree

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1. Please Type in Your Name:

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2. I know how to change specific things that I want to change in my life.

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3. I can tell when I am ready to make specific changes in myself.

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4. I have a good sense of where I am headed in my life.

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5. If I want to change something in my life, I initiate the transition process.

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6. I can choose the role that I want to have in a group.

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7. I have a specific action plan to help me reach my goals.

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8. I take charge of my life.

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9. I know what my unique contribution to the world might be.

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10. I have a plan for making my life more balanced.

Thank you for completing this survey. After clicking "done" please proceed to the next survey.

WARNING. This work is protected by copyright and is intended for free use in research, educational, and
clinical purposes. Please contact Christine Robitschek prior to any such noncommercial use. This work may not be used for commercial purposes.

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