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Does Your Child Need Help?

Directions: Answer the following questions and click “analyze” when you are done. When you receive a score, refer to the corresponding recommendation. Or if you just want to talk to someone about your teen in person right now please call 1 (800) 429-5090

Yes No	1. Is your child receiving poor or failing grades or excessive tardies or absences in school?
Yes No	2. Has your child gotten into trouble at school or been suspended?
Yes No	3. Has your child dropped out or been expelled from school?
Yes No	4. Does your child display a lack of motivation with school or family duties?
Yes No	5. Does your child lose his/her temper easily?
Yes No	6. Does your child become defiant when he or she is asked to do something, told “no” or simply doesn’t get his or her way?
Yes No	7. Does your child use abusive language towards you or other family members?
Yes No	8. Is your child willing to compromise personal or family values to be accepted?
Yes No	9. Does your child associate with troublemakers or friends who are making poor decisions?
Yes No	10. Has your child withdrawn from family activities and involvement?
Yes No	11. Does your child use crying, intimidation, threats, tantrums, guilt, or other forms manipulation to get his or her way?
Yes No	12. Does your child have a history of lying?
Yes No	13. Does your child frequently blame others and refuse to take responsibility for his or her actions?
A B C D E	14. Which of the following statements best describes your child’s level of substance abuse? * To my knowledge my child has never used tobacco, drugs, or alcohol. My child has tried tobacco, drugs, or alcohol once or twice on an experimental basis only. My child is using marijuana and/or alcohol and/or abusing prescription drugs on a consistent basis. My child is using one or more serious drugs on a consistent basis. My child has a severe drug problem and is addicted to one or more serious drugs. *Examples of serious drugs: crack, cocaine, methamphetamine, inhalants, heroin, ecstasy, LSD, etc.
Yes No	15. Does your child maintain an image that is associated with a negative peer culture by their clothing, hairstyle, piercings, tattoos etc.
Yes No	16. Does your child listen to music with violent, sadistic, degrading, or gangster-influenced lyrics?
Yes No	17. Does your child disregard the consequences you attempt to enforce?
Yes No	18. Does your child disregard the majority of your family rules?
Yes No	19. Does your child sneak out at night?
Yes No	20. Has your child ever run away from home for more than a few hours without telling you where they were going?
Yes No	21. Has your child been in trouble with the law?
Yes No	22. Does your child slam doors, throw objects, destroy property out of anger, or use intimidation to get his/her way?
Yes No	23. Has your child become physically aggressive towards family members or peers?
Yes No	24. Is your child sexually active?
Yes No	25. Is your child frequenting internet chat rooms, accessing pornography or displaying a preoccupation with sex?
Yes No	26. Does your child attract undue attention to him or herself by dressing provocatively or acting promiscuously?
Yes No	27. Has your child threatened suicide or deliberately cut or otherwise injured him or herself?
Yes No	28. Has your child attempted suicide?
Yes No	29. Has your child ever been diagnosed with attention deficit disorder or attention deficit/hyperactivity disorder?
Yes No	30. Has your child ever been diagnosed with bipolar disorder, oppositional defiance disorder, depressive or mood disorder, anxiety disorder, or reactive attachment disorder?