Troubled Teen Questionnaire

1. Does your troubled teen fail to complete tasks that require effort regardless of the future importance of the task?
   (e.g. school work)
   Yes No
2. Does your troubled teen attempt to negotiate and/or manipulate in order to avoid consequences and problems?
   Yes No
3. Does your troubled teen justify negative behaviors by blaming others?
   Yes No
4. Is your troubled teen unwilling to recognize the impact of his/her behavior on family and friends?
   Yes No
5. Does your troubled teen use manipulation and deception in order to change others' points of view?
   Yes No
6. Does your troubled teen have weekly outbursts or mood swings?
   Yes No
7. Does your troubled teen avoid participating in family activities and social events?
   Yes No
8. Does your troubled teen become impatient or easily agitated with others?
   Yes No
9. Does your teen have an intense fear of gaining weight or becoming fat?
   Yes No
10. Has there been a recent drop in your teen's performance at school?
    Yes No
11. Is it difficult for your teen to relate with others or make friends?
    Yes No
12. Does your teen frequently fail to finish schoolwork, projects or chores?
    Yes No
13. Does your teen fail to follow through with responsibilities or instructions?
    Yes No
14. Is your teen forgetful or often viewed as lazy?
    Yes No
15. Does your teen argue with adults and authority figures?
    Yes No
16. Is your teen failing one or more courses in school?
    Yes No
17. Has your teen undergone therapy and/or counseling without results?
    Yes No
18. Does your teen do dangerous things without considering the consequences, "a daredevil?"
    Yes No
19. Has your teen been physically abusive to animals?
    Yes No
20. Is your teen extremely self-conscious?
    Yes No
21. Does your teen appear depressed, sad, tearful or irritable nearly every day?
    Yes No
22. Has your teen run away from home? (More than twice)
    Yes No
23. Is your teen sexually active?
    Yes No
24. Does your teen engage in self-injurious behaviors and/or threaten to inflict self-harm?
    Yes No
25. Does your teen use illegal drugs and/or alcohol?
    Yes No

*Note: Once personal information is submitted your teens score will be automatically tallied below and a counselor will contact you within 24 hours.