Readiness for Change Scale

READINESS FOR CHANGE SCALE ASSESSMENT OVERVIEW ================== This assessment helps determine a client's readiness and motivation for change. Use this tool during intake or when exploring new goals to tailor your coaching approach effectively. CLIENT INFORMATION ================== Name: _____________________________ Date: _____________________________ Coach: ____________________________ Area of Change Being Assessed: ______ ___________________________________ INSTRUCTIONS ============ For each statement below, circle the number that best represents how you feel right now about making changes in the area identified above. 1 = Strongly Disagree 2 = Disagree 3 = Somewhat Disagree 4 = Neutral 5 = Somewhat Agree 6 = Agree 7 = Strongly Agree MOTIVATION TO CHANGE =================== 1. I want to make changes in this area of my life. 1 2 3 4 5 6 7 2. Making this change is important to me personally. 1 2 3 4 5 6 7 3. I am committed to working on this change. 1 2 3 4 5 6 7 4. The benefits of changing outweigh the costs. 1 2 3 4 5 6 7 5. I have clear reasons for wanting to make this change. 1 2 3 4 5 6 7 Motivation Score: ___/35 CONFIDENCE TO CHANGE =================== 6. I believe I can successfully make this change. 1 2 3 4 5 6 7 7. I have the skills needed to make this change. 1 2 3 4 5 6 7 8. I can overcome obstacles that might arise. 1 2 3 4 5 6 7 9. I have been successful at making similar changes before. 1 2 3 4 5 6 7 10. I feel confident in my ability to maintain this change long-term. 1 2 3 4 5 6 7 Confidence Score: ___/35 READINESS TO ACT ================ 11. I am ready to start working on this change immediately. 1 2 3 4 5 6 7 12. I have already taken some steps toward this change. 1 2 3 4 5 6 7 13. I am willing to invest time and energy into this change. 1 2 3 4 5 6 7 14. I am prepared to make this change a priority in my life. 1 2 3 4 5 6 7 15. I have a clear plan for how to make this change. 1 2 3 4 5 6 7 Readiness Score: ___/35 SUPPORT SYSTEM ============== 16. I have people in my life who will support this change. 1 2 3 4 5 6 7 17. My environment will support me in making this change. 1 2 3 4 5 6 7 18. I have access to the resources I need for this change. 1 2 3 4 5 6 7 19. Important people in my life want me to make this change. 1 2 3 4 5 6 7 20. I feel comfortable asking for help when I need it. 1 2 3 4 5 6 7 Support Score: ___/35 TOTAL READINESS SCORE ===================== Motivation Score: ___/35 Confidence Score: ___/35 Readiness Score: ___/35 Support Score: ___/35 TOTAL SCORE: ___/140 SCORING INTERPRETATION ====================== TOTAL SCORE RANGES: 115-140: HIGH READINESS You are highly motivated and ready for change. You have confidence in your abilities and strong support systems. This is an excellent time to begin your coaching journey. Coaching Approach: • Set challenging but achievable goals • Move quickly into action planning • Focus on implementation strategies • Regular accountability check-ins 90-114: MODERATE-HIGH READINESS You are generally ready for change but may need to strengthen certain areas. Focus on building confidence or motivation where scores are lower. Coaching Approach: • Address specific concerns in lower-scoring areas • Build on existing strengths and motivation • Create detailed action plans with built-in support • Regular progress reviews and adjustments 65-89: MODERATE READINESS You have some motivation for change but may face significant barriers. Additional preparation and support may be needed before diving into action. Coaching Approach: • Explore ambivalence about change • Build motivation through values exploration • Develop support systems • Start with small, manageable steps 40-64: LOW-MODERATE READINESS You may have some interest in change but face significant barriers or ambivalence. Focus on exploration and preparation before action. Coaching Approach: • Extensive exploration of motivation for change • Address barriers and concerns • Build confidence through skill development • Create strong support network before action 20-39: LOW READINESS You may not be ready for significant change at this time. Focus on awareness building and preparation. Coaching Approach: • Explore what brought them to coaching • Focus on awareness and insight building • Address ambivalence about change • Consider if coaching is appropriate at this time INDIVIDUAL DIMENSION ANALYSIS ============================= LOW MOTIVATION (1-20): • Explore values and personal reasons for change • Examine costs of not changing • Connect change to important life goals • Use motivational interviewing techniques LOW CONFIDENCE (1-20): • Break goals into smaller steps • Identify past successes and strengths • Develop specific skills needed for change • Practice and rehearse new behaviors LOW READINESS TO ACT (1-20): • Explore what's preventing action • Address practical barriers • Create specific timelines and plans • Start with very small steps LOW SUPPORT (1-20): • Identify potential sources of support • Address environmental barriers • Develop strategies for difficult relationships • Consider group coaching or support groups FOLLOW-UP QUESTIONS ================== 1. Which area scored lowest for you? Why do you think that is? ___________________________________ ___________________________________ 2. What would need to change for you to feel more ready? ___________________________________ ___________________________________ 3. What has helped you make changes successfully in the past? ___________________________________ ___________________________________ 4. What are your biggest concerns about making this change? ___________________________________ ___________________________________ 5. How important is making this change on a scale of 1-10? ___ 6. How confident are you that you can make this change on a scale of 1-10? ___ COACH NOTES =========== Assessment Date: _______________ Key Observations: ___________________________________ ___________________________________ Recommended Coaching Approach: ___________________________________ ___________________________________ Areas to Focus On: ___________________________________ ___________________________________ Next Steps: ___________________________________ ___________________________________ Follow-up Assessment Date: __________ Remember: Readiness for change can fluctuate over time. Regular reassessment can help track progress and adjust coaching approaches as needed.