Conclusion
Sharing Personal Action Plans (continued)
Notes:
Sharing your insight and observations as the facilitator
will help strengthen participants’ plans. Ask questions and
clarify participants’ goals and potential obstacles.
While participants share plans, ask them to jot down
any useful feedback they receive from the group in their
Journals.
When the large group is brought back together, you
may wish to summarize some feedback from the group.
Encourage participants to keep their Participant Journals
and continue to stick to the action plans they have created.
The ongoing support of family and friends can be extremely
helpful.
Post-test
Administer the post-test for completion by participants. A
reproducible test is located on pages 74-75 of this Guide.
The answer key is on pages 76-77. Answer any questions
participants may have.
Course Evaluation
A reproducible Course Evaluation is located on pages 7879 of this Guide. Have participants complete the Course
Evaluation by marking one answer per row and placing a
dark mark that covers the box completely. Tell participants
not to put their names on the Course Evaluation. Collect
completed Course Evaluations.
It is illegal to duplicate this page in any manner.
© 2011 The Change Companies® • 71
Pre-test • Alternatives Youth Diversion Education Program
Name:
Date:
Location:
Please mark only one answer per row. Place a dark mark that covers the box completely.
1.
2.
3.
Which of the following has the highest alcohol
content?
A 12-oz bottle of beer (5% alcohol)
A 5-oz glass of wine (12% alcohol)
A 1.5-oz shot of 80 proof liquor (40% alcohol)
A 10-oz wine cooler (5% alcohol)
They all have about the same alcohol content
Which of the following best describes the action
of alcohol on the body?
Depressant
Stimulant
Both stimulant and depressant
Neither stimulant nor depressant
The effects of a drug occur most rapidly when it
is…
Inhaled
Injected
Absorbed
Ingested
4. A good personal change plan includes:
Weighing the pros and cons of change
Specific and realistic goals
Planning for difficult situations
All of the above
5.
If a person goes to bed at 2 am with a blood
alcohol concentration (BAC) of .20, about what
time will the BAC return to 0?
5 am
2 pm
8 am
4 pm
Noon
6. Short-term effects of stimulant use are:
Calm behavior
Better decision-making
Panic
Repeated behaviors
Both panic and repeated behaviors
Both calm behavior and better decision
making
72 • © 2011 The Change Companies®
7.
8.
Which of the following is not an effective strategy for
changing behavior?
Replace negative thoughts with positive thoughts
Not worry about it because I have already changed
Consider the effects on others
Learn the facts
Which of the following is the most commonly used
opiate?
Morphine
Codeine
Heroin
OxyContin
9.
Approximately how long does it take the body to
eliminate one standard drink from the system?
30 minutes
Up to 2 hours
It depends on the size of the person
It depends on how well the person can
“hold his or her liquor”
It’s impossible to predict
10. Making a personal and public commitment to
change does not:
Make it more likely that the change will happen
Provide an opportunity to enlist the support and
help of others
Strengthen the decision to act
Set you up for failure
11. Approximately what percentage of drivers between
the ages of 16 and 20 killed in motor vehicle crashes
had a BAC of .08% or higher?
Less than 5 percent
About 10 percent
About 19 percent
About 30 percent
About 52 percent
12. How much control do you believe you have over
whether or not you drink and/or use other drugs?
No control
A little control
Quite a bit of control
Complete control
Pre-test • Alternatives Youth Diversion Education Program
13. To me, consuming alcoholic beverages of any kind
while you are underage is:
Morally unacceptable
Not a moral issue
Morally acceptable
14. The people in my life whose opinions I value
would ___________ of my drinking and/or using
other drugs.
Strongly disapprove
Disapprove
Neither disapprove or approve
Approve
Strongly approve
15. For me to avoid getting another alcohol or drugrelated arrest, I would have to change my habits.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
16. My getting into legal trouble was nobody’s fault but
my own.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
17. How ready are you to change your drinking and/or
drug use behavior?
Not at all ready
A little ready
Very ready
20. I would not feel safe riding with a driver who has
consumed 6 drinks in 2 hours.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
21. I need to change some of my alcohol or other drug
use patterns.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
22. I think coming to this class is a good opportunity to
learn important information and practice abstinence.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
23. People can change their behavior by using specific
strategies and planning ahead.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
18. For me to avoid drinking and driving in the future
would be:
Impossible
Possible
19. I am less likely to abuse alcohol or other drugs as a
result of my involvement in this class.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
© 2011 The Change Companies® • 73
Post-test • Alternatives Youth Diversion Education Program
Name:
Date:
Location:
Please mark only one answer per row. Place a dark mark that covers the box completely.
1.
2.
3.
Which of the following has the highest alcohol
content?
A 12-oz bottle of beer (5% alcohol)
A 5-oz glass of wine (12% alcohol)
A 1.5-oz shot of 80 proof liquor (40% alcohol)
A 10-oz wine cooler (5% alcohol)
They all have about the same alcohol content
Which of the following best describes the action
of alcohol on the body?
Depressant
Stimulant
Both stimulant and depressant
Neither stimulant nor depressant
The effects of a drug occur most rapidly when it
is…
Inhaled
Injected
Absorbed
Ingested
4. A good personal change plan includes:
Weighing the pros and cons of change
Specific and realistic goals
Planning for difficult situations
All of the above
5.
If a person goes to bed at 2 am with a blood
alcohol concentration (BAC) of .20, about what
time will the BAC return to 0?
5 am
2 pm
8 am
4 pm
Noon
6. Short-term effects of stimulant use are:
Calm behavior
Better decision-making
Panic
Repeated behaviors
Both panic and repeated behaviors
Both calm behavior and better decision
making
74 • © 2011 The Change Companies®
7.
8.
Which of the following is not an effective strategy for
changing behavior?
Replace negative thoughts with positive thoughts
Not worry about it because I have already changed
Consider the effects on others
Learn the facts
Which of the following is the most commonly used
opiate?
Morphine
Codeine
Heroin
OxyContin
9.
Approximately how long does it take the body to
eliminate one standard drink from the system?
30 minutes
Up to 2 hours
It depends on the size of the person
It depends on how well the person can
“hold his or her liquor”
It’s impossible to predict
10. Making a personal and public commitment to
change does not:
Make it more likely that the change will happen
Provide an opportunity to enlist the support and
help of others
Strengthen the decision to act
Set you up for failure
11. Approximately what percentage of drivers between
the ages of 16 and 20 killed in motor vehicle crashes
had a BAC of .08% or higher?
Less than 5 percent
About 10 percent
About 19 percent
About 30 percent
About 52 percent
12. How much control do you believe you have over
whether or not you drink and/or use other drugs?
No control
A little control
Quite a bit of control
Complete control
Post-test • Alternatives Youth Diversion Education Program
13. To me, consuming alcoholic beverages of any kind
while you are underage is:
Morally unacceptable
Not a moral issue
Morally acceptable
14. The people in my life whose opinions I value
would ___________ of my drinking and/or using
other drugs.
Strongly disapprove
Disapprove
Neither disapprove or approve
Approve
Strongly approve
15. For me to avoid getting another alcohol or drugrelated arrest, I would have to change my habits.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
16. My getting into legal trouble was nobody’s fault but
my own.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
17. How ready are you to change your drinking and/or
drug use behavior?
Not at all ready
A little ready
Very ready
20. I would not feel safe riding with a driver who has
consumed 6 drinks in 2 hours.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
21. I need to change some of my alcohol or other drug
use patterns.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
22. I think coming to this class is a good opportunity to
learn important information and practice abstinence.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
23. People can change their behavior by using specific
strategies and planning ahead.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
18. For me to avoid drinking and driving in the future
would be:
Impossible
Possible
19. I am less likely to abuse alcohol or other drugs as a
result of my involvement in this class.
Strongly disagree
Disagree
I don’t agree or disagree
Agree
Strongly agree
© 2011 The Change Companies® • 75
Pre-/Post-test Answer Key • Alternatives Youth Diversion Education Program
The corresponding point value for questions that measure changes to attitudes (12-23)
are noted in red to the left of the check boxes. If the point total is higher on the post-test
FACILITATOR than the pre-test, there has been a positive change in the participant’s attitudes. If the
score is lower on the post-test, this indicates a negative change.
1.
2.
3.
Which of the following has the highest alcohol
content?
A 12-oz bottle of beer (5% alcohol)
A 5-oz glass of wine (12% alcohol)
A 1.5-oz shot of 80 proof liquor (40% alcohol)
A 10-oz wine cooler (5% alcohol)
They all have about the same alcohol content
Which of the following best describes the action
of alcohol on the body?
Depressant
Stimulant
Both stimulant and depressant
Neither stimulant nor depressant
The effects of a drug occur most rapidly when it
is…
Inhaled
Injected
Absorbed
Ingested
4. A good personal change plan includes:
Weighing the pros and cons of change
Specific and realistic goals
Planning for difficult situations
All of the above
5.
If a person goes to bed at 2 am with a blood
alcohol concentration (BAC) of .20, about what
time will the BAC return to 0?
5 am
2 pm
8 am
4 pm
Noon
6. Short-term effects of stimulant use are:
Calm behavior
Better decision-making
Panic
Repeated behaviors
Both panic and repeated behaviors
Both calm behavior and better decision
making
76 • © 2011 The Change Companies®
7.
8.
Which of the following is not an effective strategy for
changing behavior?
Replace negative thoughts with positive thoughts
Not worry about it because I have already changed
Consider the effects on others
Learn the facts
Which of the following is the most commonly used
opiate?
Morphine
Codeine
Heroin
OxyContin
9.
Approximately how long does it take the body to
eliminate one standard drink from the system?
30 minutes
Up to 2 hours
It depends on the size of the person
It depends on how well the person can
“hold his or her liquor”
It’s impossible to predict
10. Making a personal and public commitment to
change does not:
Make it more likely that the change will happen
Provide an opportunity to enlist the support and
help of others
Strengthen the decision to act
Set you up for failure
11. Approximately what percentage of drivers between
the ages of 16 and 20 killed in motor vehicle crashes
had a BAC of .08% or higher?
Less than 5 percent
About 10 percent
About 19 percent
About 30 percent
About 52 percent
12. How much control do you believe you have over
whether or not you drink and/or use other drugs?
(1) No control
(2) A little control
(3) Quite a bit of control
(4) Complete control
It is illegal to duplicate this page in any manner.
Pre-/Post-test Answer Key • Alternatives Youth Diversion Education Program
13. To me, consuming alcoholic beverages of any kind
while you are underage is:
(3)
Morally unacceptable
(2) Not a moral issue
(1) Morally acceptable
14. The people in my life whose opinions I value
would ___________ of my drinking and/or using
other drugs.
Strongly disapprove
(5)
(4)
Disapprove
Neither disapprove or approve
(3)
(2)
Approve
Strongly approve
(1)
15. For me to avoid getting another alcohol or drugrelated arrest, I would have to change my habits.
Strongly disagree
(1)
(2)
Disagree
I don’t agree or disagree
(3)
(4)
Agree
Strongly agree
(5)
16. My getting into legal trouble was nobody’s fault but
my own.
Strongly disagree
(1)
Disagree
(2)
I don’t agree or disagree
(3)
Agree
(4)
Strongly agree
(5)
17. How ready are you to change your drinking and/or
drug use behavior?
Not at all ready (2)
A little ready
(1)
Very ready
(3)
20. I would not feel safe riding with a driver who has
consumed 6 drinks in 2 hours.
(1)
Strongly disagree
Disagree
(2)
(3)
I don’t agree or disagree
Agree
(4)
(5)
Strongly agree
21. I need to change some of my alcohol or other drug
use patterns.
(1)
Strongly disagree
Disagree
(2)
(3)
I don’t agree or disagree
Agree
(4)
(5)
Strongly agree
22. I think coming to this class is a good opportunity to
learn important information and practice abstinence.
Strongly disagree
(1)
Disagree
(2)
I don’t agree or disagree
(3)
Agree
(4)
Strongly agree
(5)
23. People can change their behavior by using specific
strategies and planning ahead.
Strongly disagree
(1)
(2)
Disagree
I don’t agree or disagree
(3)
(4)
Agree
Strongly agree
(5)
18. For me to avoid drinking and driving in the future
would be:
(2)
Impossible
Possible
(1)
19. I am less likely to abuse alcohol or other drugs as a
result of my involvement in this class.
Strongly disagree
(1)
Disagree
(2)
I don’t agree or disagree
(3)
Agree
(4)
Strongly agree
(5)
It is illegal to duplicate this page in any manner.
© 2011 The Change Companies® • 77
Course Evaluation • Alternatives Youth Diversion Education Program
Your input will help us improve this course.
Date:
Answer the questions honestly and completely.
Please mark only one answer per row. Place a
dark mark that covers the box completely.
1. Your gender
Male Female
2. Your age
14 and under 15-16
17-18 19-20
21+
3. Your ethnicity
African-American
American Indian
Asian/Pacific Islander
Hispanic/Latino
White/Caucasian
Other
4. Overall, how would you rate this course?
Excellent
Good
Average
Poor
5. How useful was the Participant Journal in
helping you meet your goals for the course?
Very useful
Useful
Not useful
6. How useful was the homework in helping you
meet your goals for the course?
Very useful
Useful
Not useful
78 • © 2011 The Change Companies®
7. How useful was the Personal Action Plan in
helping you meet your goals for the course?
Very useful
Useful
Not useful
8. How useful were the class discussions in
helping you meet your goals for the course?
Very useful
Useful
Not useful
9. How useful were the small group activities in
helping you meet your goals for the course?
Very useful
Useful
Not useful
10.How would you rate your facilitator in the area
of being prepared?
Excellent
Good
Average
Poor
11.How would you rate your facilitator in the area
of making participants feel comfortable?
Excellent
Good
Average
Poor
12.How would you rate your facilitator in the area
of involving everyone in discussion?
Excellent
Good
Average
Poor
Course Evaluation • Alternatives Youth Diversion Education Program
13.How would you rate your facilitator in the area
of explaining the material clearly?
17.How useful do you think the course
information will be to you in the future?
Excellent
Good
Average
Poor
14.How would you rate your facilitator in terms of
overall quality?
Excellent
Good
Average
Poor
Very useful
Somewhat useful
Not at all useful
18.Have you or will you share your Participant
Journal with anyone outside the class?
I have
I will
I will not
19.Will you keep your Participant Journal after
the course ends?
Yes No
15.How valuable was the course material in helping
you change your behavior?
20.Do you feel this course helped you make a
change in your behavior?
Very valuable
Valuable
Not at all valuable
16.How much did you learn from the course?
Yes No
I learned a lot
I learned a little bit
I learned nothing
Write your responses to the following three questions below.
21.The thing I liked best about this course is…
22. The thing I liked least about this course is…
23. How would you describe this course to a friend?
© 2011 The Change Companies® • 79