Opening Test Questions
 At what level do you see your math skills?
[ ] very good at math [ ] good at math [ ] average [ ] bad at math [ ] very bad at math
 Have you experienced and difficulty in and around doing math?
[ ] yes [ ] no
 Picture a piece of paper. Now describe this paper in detail:
[ ] Can offer specific details [ ] Can not offer specific details
 Now imagine you write your name at the top of this paper. Describe, in detail, what you just wrote:
[ ] Can offer specific details [ ] Can not offer specific details
Imagining the Ten Digits
 Now imagine writing the number one below your name. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
 Now imagine writing the number two. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
 Now imagine writing the number three. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
 Now imagine writing the number four. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
 Now imagine writing the number five. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
 Now imagine writing the number six. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no

Now imagine writing the number seven. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no

Now imagine writing the number eight. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no

Now imagine writing the number nine. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no

Now imagine writing the number ten. From where do you start drawing this number?
[ ] top [ ] bottom [ ] left [ ] right
Now describe, in detail, how you drew this number. For instance, how many lines did you use?
[ ] Can describe the complete process [ ] Can not describe the complete process
Now try to picture writing this same number in a different style. Can you?
[ ] yes [ ] no
PostTest

At what level do you now see your math skills?
[ ] very good at math [ ] good at math [ ] average [ ] bad at math [ ] very bad at math

Were you surprised by anything that you experienced?
[ ] yes [ ] no

If yes, was this surprise pleasant?
[ ] yes [ ] no
Optional Post Test Grouping Data

Age?
[ ] 5  15 [ ] 16  25 [ ] 26  35 [ ] 36  45 [ ]46  55 [ ] 56  65 [ ] 66  older
Gender?
[ ] male [ ] female
Ever gone to therapy?
[ ] yes [ ] no
Highest Completed Level of Education?
[ ] grade school [ ] high school [ ] associates degree
[ ] bachelors degree [ ]masters degree [ ] doctoral degree
