Project OZO : this document is a part of the preparation for the project Pilot. The project is co-funded by the Erasmus+ Programme of the European Union. The content in this document only reflects the views of the project responsibles. The European Commission is in no way responsible for any use that may be made of the information it contains.

1. Project number: 2016-2-NL01-KA104-034912
Project title: Bottom-up online zelfhulp voor
ouders met een achterstand (OZO)
P a g e | 1
The content in this document only reflects the views of the
project responsibles. The European Commission is in no way
responsible for any use that may be made of the information it
contains.
PILOT QUESTIONNAIRE
(for facilitators)
Version: 2.1
Date: 30.4.2018
Author: Onno Hansen-Staszyński (Ezzev Foundation)

2. Project number: 2016-2-NL01-KA104-034912
Project title: Bottom-up online zelfhulp voor
ouders met een achterstand (OZO)
P a g e | 2
The content in this document only reflects the views of the
project responsibles. The European Commission is in no way
responsible for any use that may be made of the information it
contains.
Introduction
The aim for participants in the online environment is to abandon what Carol Dweck calls a “fixed
mindset” and expand a “growth mindset”.
The pilot questionnaire measures the mindsets of the participants before the pilot and after the
pilot. For the pilot to be effective the participant scores after the pilot should be lower individually
and cumulatively after the pilot in comparison to before the pilot.
Supervisors will send this document to you, together with the Pilot questionnaire for participants.
You in turn need to send it the Pilot questionnaire for participants to your participants, both before
the first structured chat session and after the last structured chat session.

3. Project number: 2016-2-NL01-KA104-034912
Project title: Bottom-up online zelfhulp voor
ouders met een achterstand (OZO)
P a g e | 3
The content in this document only reflects the views of the
project responsibles. The European Commission is in no way
responsible for any use that may be made of the information it
contains.
The questionnaire
1. Please provide an avatar (a sign, a letter, a drawing) that allows to identify your questionnaires
before and after as belonging together without disclosing your real identity:
2. Please indicate whether you agree with the following ten statements on a scale of “1” to “5” – “1“
indicating that you totally disagree and “5” that you totally agree.
1
(I totally
disagree)
2
(I disagree)
3
(I am
neutral)
4
(I agree)
5
(I totally
agree)
1 I hate to fail
2 I love to learn new
things
3 I take comments very
personal
4 I try to avoid problems
5 If I feel insecure about
something I want to
find out why
6 I’m tired of getting new
information all the
time
7 It’s important for me to
look smart
8 I like things to be stable
9 I see criticism as an
encouragement
10 I am who I am

4. Project number: 2016-2-NL01-KA104-034912
Project title: Bottom-up online zelfhulp voor
ouders met een achterstand (OZO)
P a g e | 4
The content in this document only reflects the views of the
project responsibles. The European Commission is in no way
responsible for any use that may be made of the information it
contains.
Calculating participant scores
Questionnaire statements 1, 3, 4, 6, 7, 8, and 10 are indicators of a “fixed mindset” while statements
2, 5, and 9 are indicator of a “growth mindset”.
You calculate the participant scores. To calculate the participant scores you first add up the
participant scores on statements 1, 3, 4, 6, 7, 8, and 10.
You then change the scores on statements 2, 5, and 9 in the follow way: the scores are inversed. So,
the score “1” becomes “5”, “2” becomes “4”, “3” becomes “3”, “4” becomes “2” and the score “5”
becomes “1”. The inversed scores are added up.
Finally the total scores on statements 1, 3, 4, 6, 7, 8, and 10 and the total inversed scored on
statements 2, 5, and 9 are added up. The new total score equals the participant score.
You gather the questionnaires filled out by the participants both before the first structured chat
session and then again after the last structured chat session.
You need to create a table of the scores of the individual anonymized participant questionnaire
scores before and after and of the cumulative participants’ scores.
You then need to send the table containing the anonimized questionnaire scores to the supervisors.
The table could look like this:
PARTICIPANT QUESTIONNAIRE SCORES
SCORE
BEFORE
SCORE
AFTER
SCORE DIFFERENCE (“SCORE BEFORE” MINUS
“SCORE AFTER”)
PARTICIPANT 1
PARTICIPANT 2
CUMULATIVE
SCORE