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| Questionnaire for Parents with Difficult Teens
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The questionnaire below contains 30 Yes/No questions
which are used as a point of reference in understanding the
severity of the problems your teen or a teen you know may be
facing. After completing the questionnaire, please refer to the
following scoring guide which is based on the results of your own
responses. |
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Answer Yes or No to each question.
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| Y |
N |
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| — |
— |
- Does your teen struggle with basic family rules and
expectations?
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| — |
— |
- Has your teen ever been suspended, expelled,
truant or had a drop in school grades?
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| — |
— |
- Has your teen ever been verbally abusive?
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| — |
— |
- In your opinion, does your teen associate with a
bad peer group?
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| — |
— |
- Has your teen lost interest in former productive
activities, such as hobbies and sports?
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| — |
— |
- Do you have difficulty getting your teen to do
simple household chores or homework without a major fight?
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| — |
— |
- Has your teen had problems with the law?
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| — |
— |
- Do you find yourself picking your words carefully
when speaking to your teen so as not to elicit a verbal
attack or rage from them?
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| — |
— |
- Are you worried that your teen may not finish
high school?
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| — |
— |
- Does your teen, at times, seem depressed and/or
withdrawn?
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| — |
— |
- Is your teen's appearance or personal hygiene
outside your family standards?
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| — |
— |
- Has your teen ever displayed violent
behavior?
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| — |
— |
- Is your teen manipulative or deceitful?
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| — |
— |
- Does your teen seem to lack motivation?
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| — |
— |
- Do you suspect that your teen is telling lies or
has been dishonest with you?
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| — |
— |
- Are you concerned that your teen may be sexually
promiscuous?
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| — |
— |
- Have you seen any evidence of suicidal thoughts,
such as statements that your teen wanted to be dead, etc?
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| — |
— |
- Do you suspect that you have had money or other
valuables missing from your home?
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| — |
— |
- Are you concerned that your teen's behavior is a
threat to his or her safety and well-being?
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| — |
— |
- Does your teen seem to lack self-esteem and
self-worth?
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| — |
— |
- Do you have a lack of trust with your teen?
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| — |
— |
- Is your teen angry or displaying temper
outbursts?
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| — |
— |
- Does your teen have problems with authority?
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| — |
— |
- Does your teen engage in activities you don't
approve of?
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| — |
— |
- Do you think your teen is using or experimenting
with drugs and/or alcohol?
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| — |
— |
- Are you concerned about your teen's well-being
and future?
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| — |
— |
- Does your teen seem to be in constant opposition
to your family values?
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| — |
— |
- No matter what rules and consequences are
established, does your teen defy them?
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| — |
— |
- Are you exhausted and worn out from your teen's
defiant or destructive behaviors and choices?
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| — |
— |
- When dealing with your teen, do you often feel
that you are powerless?
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| Tally your responses: Yes __________
No __________ |
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| Based on the number of your
'Yes' responses, the recommendations are as follows:
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| 18+: |
High Risk! Get help. |
A Residential Center, Treatment Program,or Specialty
School is strongly recommended. |
| 9-17: |
Borderline Risk |
The problems may be resolved by tightening up the family
rules and structure. However, a Residential Center,
Treatment Program or Specialty School may need to be
considered if the issues are not resolved. |
| Up to 8: |
Moderate Risk |
Tighten up family rules, be consistent with your
monitoring, and most important -follow through. When you
say something will happen, your teen must see it happen! |
| Questionnaire
information obtained from www.teenswithproblems.com |
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