Below is a list of statements and questions about experiences people might have with their coach or therapist. Some
items refer directly to your coach or therapist with an underlined space - as you read the sentences, mentally insert
the name of your coach or therapist in place of ______ in the text. Think about your experience in treatment, and
decide which category best describes your own experience.
Your answers to these questions are for research only and will NOT be seen by your coach or
therapist.
Please take your time to consider each question carefully.
<%= form_for [:participants, @assessment], as: :assessment, url: participants_assessments_path do |f| %>
<% [{ text: "As a result of these sessions I am clearer as to how I might be able to change.", reversed: false },
{ text: "What I am doing in therapy gives me new ways of looking at my problem.", reversed: true },
{ text: "I believe___likes me.", reversed: false },
{ text: "___and I collaborate on setting goals for my therapy.", reversed: false },
{ text: "___and I respect each other.", reversed: true },
{ text: "___and I are working towards mutually agreed upon goals.", reversed: true },
{ text: "I feel that___appreciates me.", reversed: false },
{ text: "_____ and I agree on what is important for me to work on.", reversed: true },
{ text: "I feel _____ cares about me even when I do things that he/she does not approve of.", reversed: false },
{ text: "I feel that the things I do in therapy will help me to accomplish the changes that I want.", reversed: true },
{ text: "_____ and I have established a good understanding of the kind of changes that would be good for me.", reversed: true },
{ text: "I believe the way we are working with my problem is correct.", reversed: false }].each_with_index do |question, i| %>
<%= question[:text] %>
<% q = "q#{ i + 1 }" %>
<% if question[:reversed] %>
<%= f.radio_button q, 5 %> Always
<%= f.radio_button q, 4 %> Very Often
<%= f.radio_button q, 3 %> Fairly Often
<%= f.radio_button q, 2 %> Sometimes
<%= f.radio_button q, 1 %> Seldom
<% else %>
<%= f.radio_button q, 1 %> Seldom
<%= f.radio_button q, 2 %> Sometimes
<%= f.radio_button q, 3 %> Fairly Often
<%= f.radio_button q, 4 %> Very Often
<%= f.radio_button q, 5 %> Always
<% end %>
<% end %>
<%= f.submit "submit", class: "btn btn-default" %>
<% end %>