Solving Problems Survey
Name ___________________________ Date _______________
ABOUT ME…
1. I am _________ years old. 4. Birthdate (MM/DD/YY) ________________
2. I have been in 4-H for __________ years. 5. How do you describe yourself? (check one)
African –American, not of Hispanic origin
3. Check one: American Indian or Alaskan Native
______ I am girl. Asian/Pacific Islander
______ I am boy. Hispanic
White, not of Hispanic origin
Other- please specify __________________
Instructions: Circle the number that best corresponds to how often you did what is described in the last 30 days. For
example, if you circle 5 for a statement, that means you always do what is described in the statement.
Never Rarely Sometimes Often Always
1. When I have a problem, I first figure out exactly 1 2 3 4 5
the problem is.
2. I try to get all the facts before trying to solve a problem. 1 2 3 4 5
3. When I have a problem, I look at what is and what should be. 1 2 3 4 5
4. I look ahead and try to prevent problems before they happen. 1 2 3 4 5
5. When faced with a problem, I wait to see if it will go away. 1 2 3 4 5
6. I look at a problem from many different viewpoints 1 2 3 4 5
(my own, my friends’, my parents’, etc.)
7. I keep an open mind about what caused a problem. 1 2 3 4 5
8. When faced with a problem, I try to determine what caused it. 1 2 3 4 5
9. When solving a problem, I do the first thing that comes into 1 2 3 4 5
my head.
10. I look at the likely results for each possible solution. 1 2 3 4 5
11. When solving a problem, I look at all possible solutions. 1 2 3 4 5
12. When I have a problem, I do what I have done in the past 1 2 3 4 5
to solve it.
13. I try to look at the long term results of each possible solution. 1 2 3 4 5
14. When comparing solutions, I look how each solution will 1 2 3 4 5
affect the people involved.
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Susan Barkman and Krisanna Machtmes, Purdue University, 2002
Never Rarely Sometimes Often Always
15. When I am solving a problem, I choose the easiest solution. 1 2 3 4 5
16. I compare each possible solution with the others to find the 1 2 3 4 5
best one to solve my problem.
17. After putting my solution into action, I forget about it. 1 2 3 4 5
18. After choosing a solution, I put it into action. 1 2 3 4 5
19. After selecting a solution, I think about it for a while before I 1 2 3 4 5
put it into action
20. I tend to doubt my decision after it has been made. 1 2 3 4 5
21. If my solution is not working, I will try another solution. 1 2 3 4 5
22. Once I carry out a solution, I never look back. 1 2 3 4 5
23. When a solution is not working, I try to figure out 1 2 3 4 5
what is wrong.
24. Once I have solved a problem, I step back to see how my 1 2 3 4 5
solution is working.
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Susan Barkman and Krisanna Machtmes, Purdue University, 2002