online questionnaire

For Dr K.'s personal advice, complete the teenage assessment questionnaire.

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Questionnaire

For Dr K's personal advice and support complete the online Teenager Assessment Questionnaire.

Your Name
Email
Phone Number
Teenager Age
Teenager Gender
Teenager Family
Teenager Place in Family
Teenager School History
Primary Schools Attended
Secondary Schools Attended
Does your teenager have a satisfactory day to day relationship with members of the family?
Does your teenager have a poor relationship with their parents, siblings or both parents and siblings?
Does your teenager disobey basic family rules?
Does your teenager maintain good health?
Is your teenager on medication to stabilise their behaviour?
Does your teenager often make poor choices?
Does your teenager behave in an overly impulsive manner?
Does your teenager have low self esteem?
Does your teenager display challenging destructive behaviour?
Does your teenager behave in a deceitful or manipulative way?
Does your teenager defy authority?
Do you think your teenager may be sexually promiscuous?
Do you think your teenager is experimenting with alcohol or drugs?
Has your teenager had problems with the law?
Has your teenager been bullied by their peers?
Has your teenager bullied their peers?
Does your teenager have difficulty with school subjects?
Has your teenager received any additional support for their learning either through their school or private tutor?
Has your teenager been diagnosed as having a specific learning disability?
Does your teenager have an interest such as sport, music, writing or creative art / design?
Does your teenager have a particular skill or talent (eg. Sport)?
Does your teenager get on better with teenagers younger than themselves?
Does your teenager get on better with teenagers older than themselves?
Is your teenager nature smart?
Is your teenager gifted with language?
Is your teenager gifted with number?
Is your teenager gifted with music?
Is your teenager gifted with sport?
Is your teenager gifted with design?
Is your teenager popular with other teenagers?
Does your teenager have part time employment?
Are you worried your teenager may not finish school?
Do you feel powerless in parenting your teenager?