APPENDIX  9

 

Postprogram  Interview  Questionnaire

Two postprogram instruments were used:  the Postprogram Interview Questionnaire (PIQ) and the Postprogram Helpee Follow-up Questionnaire (PHFQ).[191]  Both questionnaires were constructed by the director and approved by the director's committee chairman prior to implementation of the project.  One change was made after approval and after implementation:  the various questions on each questionnaire were enumerated to facilitate data collection and the construction of the evaluation.  The data from these two questionnaires were reported in chapter 3.


 

Postprogram  Interview  Questionnaire

 

Name: ___________________________  TDCJ#: _______________  House: ________

1.  How would you define empathy?__________________________________________

________________________________________________________________________

2.  Has this program helped you become a better listener?  (circle one) Yes   No

     How?________________________________________________________________

     _____________________________________________________________________

3.  What helped you the most?______________________________________________

4.  What helped you the least?_______________________________________________

5.  During the weeks of this program, have you noticed any improvements in your

     ability to relate to others? (circle one)  Yes  No   If yes, one instance______________

6.  On Relationships

      What is the foundation for starting relationships?____________________________

      What is the interpersonal bridge in relationships?____________________________

      How are connections made in relationships?________________________________

 

7.  On a scale of 1 to 5 rate the level of improvement  (1 = none,  3 = moderate,  5 = great)

     In light of my participation in the helping skills program:                (circle one)

     I feel the program has improved my listening skills .................  1   2   3   4   5

     I feel that my relationships will improve ....................................  1   2   3   4   5

     I feel that I can understand people better .................................  1   2   3   4   5

     I feel more confident in being able to help people ....................  1   2   3   4   5

     I understand the importance of reflecting .................................  1   2   3   4   5

8.  What did you learn about listening that you did not know before? _______________

________________________________________________________________________


 

 

 

9.  In the light the program, what area of your life would you like to improve the most?___________________________________________________________________

10.  What was the best part of the entire program? ______________________________

11.  What was the worst part of the entire program? ____________________________

12.  If you could add one thing, what would that be? ____________________________

13.  If you could take one thing away, what would that be? ______________________

14.  Why is empathy and listening important? _________________________________

________________________________________________________________________

15.  What happens when a helper gives understanding to a hurting person with problems? _______________________________________________________________

________________________________________________________________________

16.  What other comments do you have about the program? ______________________

________________________________________________________________________

________________________________________________________________________

 

17.  Impressions of Interviewer

On a scale of 1 to 5 rate the impression (1 = no/none,  3 = moderately,  5 = greatly)

       I feel that the participant:                                                                                       (circle one)

       Gained some understanding about empathy .................................  1   2   3   4   5

       Understands the importance of empathy and listening .................  1   2   3   4   5

       Understands the importance of communicating understanding ....  1   2   3   4   5

       Was sincere about his efforts at learning how to help ..................  1   2   3   4   5

       Feels he can better help others by listening ..................................  1   2   3   4   5

18.  What is the general impression of the effect of the program on the participant?

________________________________________________________________________

 

*  *  *    Thanks for your help and participation    *  *  *


 

APPENDIX  10

 

Postprogram  Helpee  Follow-up  Questionnaire

 

 

Two postprogram instruments were used:  the Postprogram Helpee Follow-up Questionnaire (PHFQ) and the Postprogram Interview Questionnaire (PIQ).[192]  Both questionnaires were constructed by the director and approved by the director's committee chairman prior to implementation of the project.  One change was made after approval and after implementation:  the various questions on each questionnaire were enumerated to facilitate data collection and the construction of the evaluation.  The data from these two questionnaires were reported in chapter 3.

 


 

 

 

Postprogram  Helpee  Follow-up  Questionnaire

You can help the chaplain understand how you feel about the helpers and the helping skills program.
Your honest answers will be greatly appreciated.

1.  How many of the helpers do you see and talk to at least once a week? ___________

      Of those, generally, do you feel that they relate to you better?   Yes   No

Think about the helpers who have gone through the program.   Pick out a helper with whom you have the most contact.   Then answer the following questions to the best of your ability.  

2.  How long have you known this helper? ____________________________________

3.  How often do you talk to this helper? _____________________________________

 

4.  On a scale of 1 to 4 rate the following

1 = no improvement;   2 = improved, but barely noticeable;
3 = noticeably improved;   4 = greatly improved

       ---Do  you  feel:                                                                          (circle one)

       That the helper has improved his ability to help  ..................  1   2   3   4

       That the helper listens better  ...............................................  1   2   3   4

       That the helper understands you better  ...............................  1   2   3   4

       That the helper has more insight about you  .........................  1   2   3   4

       More at ease around the helper  ...........................................  1   2   3   4

       More free to share with the helper  ......................................  1   2   3   4

5.  Were you aware that the helping skills program was going on?  Yes  No  (circle one).

6.  Do you have any comments about the general effect of the helping skills program (on participants/unit/etc.)? ___________________________________________________

_____________________________________________________________________

*  *  *    Thanks for your help and participation    *  *  *


 

APPENDIX  11

 

DATA  COLLECTION  WORKSHEETS

 

 

The following worksheets were created to facilitate the collection of data and the scoring of three tests:  the Counselor Response Questionnaire,[193] the Responding Questionnaire,[194] and the discrimination exercises.  The three worksheets were named accordingly:  the item 1:  Counselor Response Questionnaire Worksheet (CRQW), the item 2:  Responding Questionnaire Worksheet (RQW), and item 3:  Discrimination Exercise Worksheet (DEW). 

The worksheets were used to collect data during various portions of the program.  The CRQW and the REW were used to collect data from the pretest and the posttest scores of the control and experimental groups.  The data from the CRQW pretest scores were used to help divide the control group from the experimental group as was explained in chapter 2.  The data from both the CRQW and the RQW pretest and posttest scores were used in construction of part of chapter 3.

The DEW was used to collect data from homework assignments given to the control group participants during the first six program sessions.  The participant's DEW scores were recorded on the following day and reported in the daily pastoral observations and reflections that were kept by the director (see appendix 8).


 

 

Item  1:   Counselor  Response  Questionnaire  Worksheet

 

Name:_______________________________ TDCJ#:______________ Assigned #:____

 

Test #1                Resp.   Score                 Resp.   Score                 Resp.   Score

                      1:     A___(2)                 6:     A___(3)                11:    A___(2)

                              B___(1)                         B___(2)                         B___(3)

                              C___(3)____                 C___(1)____                 C___(1)____

 

Total             2:     A___(3)                 7:     A___(2)                12:    A___(3)

    + 20                   B___(1)                         B___(3)                         B___(1)

                              C___(2)____                 C___(1)____                 C___(2)____

________

                      3:     A___(2)                 8:     A___(1)                13:    A___(2)

                              B___(3)                         B___(2)                         B___(1)

                              C___(1)____                 C___(3)____                 C___(3)____

 

                      4:     A___(3)                 9:     A___(1)                14:    A___(2)

                              B___(2)                         B___(3)                         B___(1)

                              B___(1)____                 C___(2)____                 C___(3)____

 

                      5:     A___(1)                 10:   A___(3)                15:    A___(3)

                              B___(3)                         B___(1)                         B___(2)

                              C___(2)____                 C___(2)____                 C___(1)____

_______________________________________________________________________

 

Test #2                Resp.   Score                 Resp.   Score                 Resp.   Score

                      1:     A___(2)                 6:     A___(3)                11:    A___(2)

                              B___(1)                         B___(2)                         B___(3)

                              C___(3)____                 C___(1)____                 C___(1)____

 

Total             2:     A___(3)                 7:     A___(2)                12:    A___(3)

    + 20                   B___(1)                         B___(3)                         B___(1)

                              C___(2)____                 C___(1)____                 C___(2)____

________

                      3:     A___(2)                 8:     A___(1)                13:    A___(2)

                              B___(3)                         B___(2)                         B___(1)

                              C___(1)____                 C___(3)____                 C___(3)____

 

                      4:     A___(3)                 9:     A___(1)                14:    A___(2)

                              B___(2)                         B___(3)                         B___(1)

                              B___(1)____                 C___(2)____                 C___(3)____

 

                      5:     A___(1)                 10:   A___(3)                15:    A___(3)

                              B___(3)                         B___(1)                         B___(2)

                              C___(2)____                 C___(2)____                 C___(1)____


 

 

Item  2:   Responding  Questionnaire  Worksheet

 

Name:_______________________________ TDCJ#:______________ Assigned #:____

 

 

     Key                                   Test #1 Responses        Test #2 Responses

     1.    b                                  1.  _______                    1.  _______

     2.    d                                  2.  _______                    2.  _______

     3.    b                                  3.  _______                    3.  _______

     4.    a, d                              4.  _______                    4.  _______

     5.    a, b                             5.  _______                    5.  _______

     6.    e                                 6.  _______                    6.  _______

     7.    b                                 7.  _______                    7.  _______

     8.    a                                 8.  _______                    8.  _______

     9.    a, c, d                         9.  _______                    9.  _______

 

     Short Answer         [Answers:  Content, Feeling, Meaning]

     1.                                       1.   a._______________        1.    a._______________

                                                     b._______________               b._______________

 

     2.    [Answer:  "If I were the helpee and I were doing and saying these things,
            how would I feel?"]

       2. Test #1:________________________________________________________________

 

            __________________________________________________________________

 

       2. Test #2:________________________________________________________________

 

            __________________________________________________________________

 

 

            Pretest score +20 _________                 Posttest score +20 _________


 

 

Item  3:   Discrimination  Exercise  Worksheet

 

 

Name:_____________________ TDCJ#:_____________________ Assigned #:_______

 

The numbers in parentheses are the expert ratings:  "4" the highest, and "1" the lowest.

 

                                     Resp.                                                         Resp.                                                      Resp.

               1.    1 (2)____                          6.       1 (2)____                       11.     1 (1)____

                      2 (3)____                                   2 (1)____                                 2 (2)____

Assign. #1 3 (1)____               Assign. #3      3 (4)____                                          3 (4)____

                      4 (4)____                                   4 (3)____                                 4 (3)____

                                                                                                         ----------------------------

               2.    1 (3)____                          7.       1 (1)____                       12.     1 (3)____

                      2 (2)____                                   2 (3)____                                 2 (1)____

                      3 (1)____                                   3 (4)____          Assign. #5         3 (2)____

                      4 (4)____                                   4 (2)____                                 4 (4)____

-----------------------------

               3.    1 (4)____                          8.       1 (1)____                       13.     1 (2)____

                      2 (1)____                                   2 (2)____                                 2 (4)____

Assign. #2 3 (2)____                                          3 (3)____                                 3 (3)____

                      4 (3)____                                   4 (4)____                                 4 (1)____

                                                       -----------------------------

               4.    1 (1)____                          9.       1 (1)____                       14.     1 (3)____

                      2 (2)____                                   2 (2)____                                 2 (4)____

                      3 (3)____               Assign. #4         3 (4)____                                 3 (1)____

                      4 (4)____                                   4 (3)____                                 4 (2)____

                                                                                                         ----------------------------

               5.    1 (3)____                          10.     1 (2)____                       15.     1 (4)____

                      2 (1)____                                   2 (1)____                                 2 (1)____

                      3 (4)____                                   3 (3)____          Assign. #6         3 (2)____

                      4 (2)____                                   4 (4)____                                 4 (3)____

-------------------------------

                                                                                                               16.     1 (2)____

                                                                                                                        2 (3)____

                                                                                                                        3 (4)____

                                                                                                                        4 (1)____


 

APPENDIX  12

 

PROGRAM  ATTENDANCE  INSTRUMENTS

 

 

Three program attendance instruments were used.  They included the following:  item #1:  Last Saturday Announcement;  item #2:  Attendance Roster (names having been deleted for confidentiality);  item #3:  Certificate of Recognition Blanks.

 


 

 

 

 

Item #2:  Last Saturday Announcement

 


 

 

Item #2:  Attendance Roster

 

Love, Listening, Liberating:                                                  Date:       8-7-96

     The Art of Christian Caring                          

 

  1     2     3      4     5     6     7

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