The Veteran Supported Education Service Treatment Manual: VetSEd
The Veteran Supported Education Service Treatment Manual: VetSEd
The Veteran Supported Education Service Treatment Manual: VetSEd
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Worksheet #18: Stages of Change Interview for Seeking<br />
<strong>Education</strong><br />
Name______________________<br />
Date____________<br />
Interviewer________________________<br />
I’d like to talk to you about work and ask you some questions. We will talk about things<br />
you may be doing to go to school. We will also talk about things that are going in the way<br />
of going to school.<br />
Do you want to go to school right now?<br />
YES<br />
What are you doing?<br />
MAYBE/NO<br />
What are pros and cons?<br />
List activities here Pros Cons<br />
Do the pros outweigh the cons?<br />
____number of months participating in<br />
activity<br />
____If less than six months in activity:<br />
ACTION STAGE<br />
____ If no pros to change:<br />
PRECONTEMPLATION STAGE<br />
____ If cons > pros:<br />
CONTEMPLATION STAGE<br />
____If more than six months in activity:<br />
MAINTENANCE STAGE<br />
Have you stopped doing these things in<br />
the past month?<br />
____ If pros > cons:<br />
DETERMINATION/PREPARATION<br />
STAGE<br />
____If yes: RELAPSE STAGE<br />
139 | P a g e
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