Pastoral Counselling Center- Brief Adolescent Outcome Behaviour

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The Pastoral Counselling Center- Brief Adolescent Outcome Behaviour questionnaire is a brief self-assessment form intended for adolescents. Th... More

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Q1. What’s been happening? Share a relaxed anecdote, case study or recent success.

Q2. Date the activity actually happened

Q3. Location (Text)

Q4. Add attachments

Q5. Change update's privacy

Q6. Use drugs for non-medical purposes? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q7. Feel threatened or bullied by others? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q8. Feel worthless? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q9. Drink alcohol (beer, wine, hard liquor), or use drugs or illegal substances? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q10. Have a hard time having fun? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q11. Sleep a lot more than you normally do? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q12. Eat a lot more or less than usual? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q13. Feel nervous and/or shy around other people? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q14. Get into fights with family members and/or friends? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q15. Have a hard time sleeping because you were worried? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q16. Feel unhappy or sad? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q17. Think that you don't have any friends? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q18. Get into trouble? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q19. Have little or no friends? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q20. Avoid Going to School? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q21. Think about hurting yourself? (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Q22. Disobey adults? (Not do what adults told you to do) (single choice)

Actions ▼

Survey Question Wording

Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree

Organisations using the survey

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Pastoral Counselling Center- Brief Adolescent Outcome Behaviour

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Similar Surveys

Q1. What’s been happening? Share a relaxed anecdote, case study or recent success.

Q2. Date the activity actually happened

Q3. Location (Text)

Q4. Add attachments

Q5. Change update's privacy

Q6. Use drugs for non-medical purposes? (single choice)

Q7. Feel threatened or bullied by others? (single choice)

Q8. Feel worthless? (single choice)

Q9. Drink alcohol (beer, wine, hard liquor), or use drugs or illegal substances? (single choice)

Q10. Have a hard time having fun? (single choice)

Q11. Sleep a lot more than you normally do? (single choice)

Q12. Eat a lot more or less than usual? (single choice)

Q13. Feel nervous and/or shy around other people? (single choice)

Q14. Get into fights with family members and/or friends? (single choice)

Q15. Have a hard time sleeping because you were worried? (single choice)

Q16. Feel unhappy or sad? (single choice)

Q17. Think that you don't have any friends? (single choice)

Q18. Get into trouble? (single choice)

Q19. Have little or no friends? (single choice)

Q20. Avoid Going to School? (single choice)

Q21. Think about hurting yourself? (single choice)

Q22. Disobey adults? (Not do what adults told you to do) (single choice)

Organisations using the survey

People using the survey