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. The form uses a 5 point scale and looks at different lifestyle choices, mental health problems and physical health problems that could affect adolescents.
Tags
Causes :
Children & Youth, Education, Health
Sub Causes :
drugs, mental health, right to education
Identity Ratio Sets :
Age , Gender (3 options), Gender (3 options), Gender (3 options)
Sub Ratios :
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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.
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*Q5.
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Q6.
Use drugs for non-medical purposes? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q7.
Feel threatened or bullied by others? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q8.
Feel worthless? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q9.
Drink alcohol (beer, wine, hard liquor), or use drugs or illegal substances? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q10.
Have a hard time having fun? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q11.
Sleep a lot more than you normally do? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q12.
Eat a lot more or less than usual? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q13.
Feel nervous and/or shy around other people? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q14.
Get into fights with family members and/or friends? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q15.
Have a hard time sleeping because you were worried? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q16.
Feel unhappy or sad? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q17.
Think that you don't have any friends? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q18.
Get into trouble? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q19.
Have little or no friends? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q20.
Avoid Going to School? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q21.
Think about hurting yourself? (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
Q22.
Disobey adults? (Not do what adults told you to do) (single choice)
| Strongly Agree | Agree | Undecided | Disagree | Strongly Disagree |
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