        |
|
Select the teen that you are most concerned about, and circle the number that most closely resembles your teen's behavior. Keep in mind that there are no right or wrong answers.
Code: 1 – almost never 2 – sometimes 3 – not sure 4 – often 5 – almost always
1. My teen demands too much attention from me. 1 2 3 4 5
2. My teen follows my directions. 1 2 3 4 5
3. My teen initiates discussion with me. 1 2 3 4 5
4. My teen quits or gives up on tasks before completion. 1 2 3 4 5
5. My teen shows respect for others. 1 2 3 4 5
6. My teen does what I ask even when she/he disagrees. 1 2 3 4 5
7. My teen expresses affection toward me. 1 2 3 4 5
8. My teen cooperates with others. 1 2 3 4 5
9. My teen is willing to try new things. 1 2 3 4 5
10. My teen blames others for his/her own mistakes. 1 2 3 4 5
11. My teen likes him/herself. 1 2 3 4 5
12. My teen says hurtful things to me. 1 2 3 4 5
13. My teen sometimes appears to be under the influence of alcohol or other drugs. 1 2 3 4 5
14. My teen talks with me about alcohol and other drugs. 1 2 3 4 5
15. My teen talks with me about problems. 1 2 3 4 5
16. My teen is withdrawn. 1 2 3 4 5
17. My teen gets in trouble in school. 1 2 3 4 5
18. My teen talks with me about sexuality. 1 2 3 4 5
19. My teen has agreed not to use alcohol and other drugs. 1 2 3 4 5
20. My teen engages in inappropriate sexually related behaviors. 1 2 3 4 5
21. My teen enjoys spending time with me. 1 2 3 4 5
22. My teen expresses anger in an appropriate manner. 1 2 3 4 5
23. My teen is reliable with money. 1 2 3 4 5
24. My teen violates her/his curfew. 1 2 3 4 5
25. My teen accepts our family values. 1 2 3 4 5
26. My teen gets in trouble with the law. 1 2 3 4 5
27. My teen is hurtful. 1 2 3 4 5
28. My teen is encouraging to others. 1 2 3 4 5
29. My teen shows respect for my views as a parent. 1 2 3 4 5
Copyright 1995 by Michael H. Popkin and Fran Mullis. Active Parenting Publishers, Inc., Atlanta. All rights reserved.
Add the scores for the positive items:
2. _____
3. _____
5. _____
6. _____
7. _____
8. _____
9. _____
11. _____
14. _____
15. _____
18. _____
19. _____
21. _____
22. _____
23. _____
25. _____
28. _____
29. _____
TOTAL POSITIVE ______
Next, total the score from the negative items:
1. _____
4. _____
10. _____
12. _____
13. _____
16. _____
17. _____
20. _____
24. _____
26. _____
27. _____
TOTAL NEGATIVE ______
Then subtract the negative score from the positive score:
TOTAL POSITIVE ________
TOTAL NEGATIVE ________
FINAL SCORE ________
The higher the final score, the more positive the child's behavior and attitude.
        |