1. Select and write the question that you wish to analyze.

________________________________________________________________________

_______________________________________________________________________

2. List 5 possible solutions to your question from #1. Rank them in the order that you are most comfortable--1 being the most comfortable; 5 being the least comfortable.

RANK # SOLUTION

1. ________________________________________________________

__________2. ________________________________________________________

__________3. ________________________________________________________

__________4. ________________________________________________________

__________5. ________________________________________________________

3. Using the attached list of values write the values that helped you in your selection of your solution #1. (Use the back of the paper if you need more space.)

Your solution is: _________________________________________________________

Value #1. _______________________________________________________________

Value #2.________________________________________________________________

Value #3. ________________________________________________________________

Value #4. ________________________________________________________________

Others values: ___________________________________________________________

4. What consequences will the individual face if your solution #1 is chosen? Think about problems such as money, psychological, legal, family, etc. (Use the back of the paper if you need more space.)

Consequence #1. __________________________________________________________

__________________________________________________________________

Consequence #2. __________________________________________________________

__________________________________________________________________

Consequence #3. __________________________________________________________

__________________________________________________________________

5. For what reasons might one of your classmates not agree with you? (Use the back of the paper if you need more space.)

Reason #1. ______________________________________________________________

Reason #2. ______________________________________________________________

Reason #3. ______________________________________________________________

6. On the following line scale, mark with an X how much you could or could not live with your solution.

_____________________________________________________________

Could not live with my solution Could live with my solution

7. What support systems would be most important to your being able to live with your solution? (eg. money, family, husband, etc.)