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From time to time, all parents wonder if their children are developing and/or behaving "normally". They wonder, maybe even worry if their child is behaving appropriately for their age. The following questions are typical, but not inclusive of what a professional would ask you about your child/teen.

The following questions represent many of the areas a professional would be evaluating. To get an accurate screening, it is very important for you to answer each and every question honestly. As you read through these questions, remember that we all may have experienced one or more bad moments or bad days. A short time means a few hours up to a couple of days; not weeks or months.

Your responses to these questions are strictly confidential and are not saved and/or recorded by Resurrection Health Care or any other entity.

Please answer YES or NO to the following questions.

After responding to the questions, click on the "Score" button below to see your results. Click "Reset" to start over.

  1. Have you seen major, unexplained changes in your child's/teen's sleeping pattern in the last month (30) days?

    Yes No

  2. Has your child's/teen's appetite or eating pattern changed significantly in the last month (30) days?

    Yes No

  3. Has your child/teen lost interest in activities that they considered "fun" a short time ago?

    Yes No

  4. Has he/she experienced any significant weight gains or loss not explained by normal growth?

    Yes No

  5. Has your child/teen willingly harmed someone, such as a family member, peer, or classmate?

    Yes No

  6. Has there been a drop in grades, reports of truancy or increased phone calls from school?

    Yes No

  7. Is he/she engaging in physical or verbal aggression in the home/school/community?

    Yes No

  8. Do you suspect or have evidence that he/she is abusing or using drugs and/or alcohol?

    Yes No

  9. Have you noticed a marked change in his/her peer group?

    Yes No

  10. Is he/she isolating or withdrawing from others?

    Yes No

  11. Have there been any recent changes such as crying frequently, unusual flashes of irritability, anger or unreasonable fears, worrying, and/or nightmares?

    YesNo

  12. Has your child/teen experienced any traumatic events in the last 12 months?

    Yes No

  13. Has he/she had any contacts with the police or juvenile court?

    Yes No

  14. Has or is he/she mean or harmful to pets or other animals?

    Yes No

Call 877-RES-INFO for Nurse Advice, Doctor Referrals or Class Registration Monday - Friday 8 am to 8 pm • Weekends 8 am to 4pm
 
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