ADOLESCENT

Name_______________________________________________________ Date__________________
Sex _____________ Age ___________ Place _____________________________________________
Directions
The following sentences concern your experiences so please try to answer as openly and as honestly
with adolescent. Complete each of these unfin- as you can. You may skip any items that you
ished sentences with the first thing that comes to cannot readily complete and return to them later,
your mind. There are no right and wrong answer, but please be sure to complete all the items.

1. Being a teenager _____________________________________________________________

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2. My moods and emotions _______________________________________________________
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3. My physical development ______________________________________________________
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4. Now that I am no longer a child _________________________________________________
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5. My goals ___________________________________________________________________
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6. Dating _____________________________________________________________________
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7. Communicating with my parents ________________________________________________
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8. Looking ahead, I see myself ____________________________________________________
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9. People in authority ___________________________________________________________
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10. Knowing who I am ___________________________________________________________
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11. My attitude _________________________________________________________________
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12. My career plans ______________________________________________________________
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13. Going to college _____________________________________________________________
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14. What interests me most ________________________________________________________
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15. I feel confident when _________________________________________________________
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16. I have trouble coping with _____________________________________________________
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17. Being told what to do _________________________________________________________
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18. I feel good about myself _______________________________________________________
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19. When tackling problems _______________________________________________________
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20. When I am punished __________________________________________________________
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21. Being with friends ____________________________________________________________
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22. Making Friends ______________________________________________________________
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23. Belonging to a group __________________________________________________________
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24. I spend my free time __________________________________________________________
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25. Teens who drink or use drugs ___________________________________________________
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26. My parents don’t understand ___________________________________________________
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27. My appearance ______________________________________________________________
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28. When I go out at night ________________________________________________________
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29. When I want something _______________________________________________________
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30. Dealing with parents __________________________________________________________
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31. Dealing with adults ___________________________________________________________
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32. Following rules ______________________________________________________________
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33. School _____________________________________________________________________
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34. I feel like an adult ____________________________________________________________
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35. My strengths ________________________________________________________________
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36. What scares me most _________________________________________________________
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37. When I need advice ___________________________________________________________
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38. People my age _______________________________________________________________
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39. The people I admire __________________________________________________________
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40. Dealing with peer pressure _____________________________________________________
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41. Having more responsibilities ___________________________________________________
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42. Getting a job ________________________________________________________________
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43. Having sex _________________________________________________________________
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44. My abilities _________________________________________________________________
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45. The choices I’ve made ________________________________________________________
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46. Using drugs _________________________________________________________________
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47. Drinking alcohol _____________________________________________________________
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48. When I am upset _____________________________________________________________
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49. My biggest problem __________________________________________________________
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50. Having more independence _____________________________________________________
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