Get insights on your
troubled teen’s most
urgent behaviors
and warning signs

Does your teen exhibit any of the following behaviors? (Check all that apply.)

1. Does your teen negotiate and/or manipulate in order to avoid consequences? Yes No

2. Does your teen fail to complete tasks that require effort regardless of the future
importance of the task? 
(e.g. school work, activities, projects) Yes No

3. Does your teen refuse to participate in family activities and social events? Yes No

4. Does your teen justify negative behaviors by blaming others? Yes No

5. Is your teen unwilling to recognize the impact of his/her behavior on others? Yes No

6. Does your teen consistently fail to follow through with responsibilities
or instructions? Yes No

7. Does your teen exhibit dramatic mood swings or angry/violent outbursts? Yes No

8. Is your teen's school performance a chronic problem and source of conflict? Yes No

9. Is it difficult for your teen to relate with others or make friends? Yes No

10. Does your teen have an obsession with food and/or an intense fear
of gaining weight? Yes No

11. Is your teen forgetful or often viewed as lazy? Yes No

12. Does your teen argue with and show disrespect for adults and authority figures? Yes No

13. Does your teen do dangerous things without considering the consequences? Yes No

14. Has your teen been physically abusive to animals? Yes No

15. Has your teen run away from home more than once? Yes No

16. Does your teen appear depressed, sad, tearful or irritable nearly every day? Yes No

17. Is your teen sexually active? Yes No

18. Does your teen act out sexually or exhibit inappropriate sexual behavior? Yes No

19. Does your teen engage in self-injurious behaviors and/or threaten
to inflict self-harm?
 Yes No

20. Has your teen undergone therapy and/or counseling without results? Yes No

21. Does your teen use illegal drugs and/or alcohol? Yes No

22. Has your teen been arrested or otherwise involved with
the authorities/legal system? Yes No

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