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Only answer 'Yes' if these behaviors are out of the ordinary for your teen. |
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1. |
Does your teen often have red or blood shot eyes? |
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2. |
Has your teen recently developed a persistent cough? |
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3. |
Is your teen tired most of the time or having trouble sleeping? |
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4. |
Has your teen gained or lost weight recently? |
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5. |
Does your teen sometimes have injuries they can't or won't explain or the explanations don't make sense? |
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6. |
Does your teen have frequent headaches, nausea, or sensitivity to sound or light (especially in the morning)? |
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7. |
Are there signs you teen is using other drugs, including smoking? |
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8. |
Does your teen sometimes slur their speech or have trouble communicating effectively? |
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9. |
Does your teen seem unable to concentrate? |
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10. |
Has your teen had blackouts, where they can't remember or account for certain periods of time? |
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11. |
Has your teen withdrawn from the family, spending more time alone? |
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12. |
Has your teen lost interest in activities or hobbies they used to enjoy? |
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13. |
Does your teen seem depressed? |
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14. |
Does your teen have mood swings or get angry quickly? Is he/she irritable or overly defensive? |
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15. |
Has your teen lied to you or someone else? |
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16. |
Have there been school problems (drop in grades, missing classes, skipping school, complaints from teachers)? |
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17. |
Has your teen been in trouble with the law? |
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18. |
Has your teen changed their friends and doesn't introduce you to the new friends? |
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19. |
Does your teen go out with friends a lot? Does he/she go to many parties? |
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20. |
Is your teen secretive (hides things, locks their bedroom door, doesn't talk about their friends, doesn't tell you where they go)? |
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21. |
Has your teen ever threatened or tried to run away? |
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22. |
Have you had suspicions that your teen has stolen money from you? |
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23. |
Have you had suspicions that alcohol was missing from your home? |
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Total 'Yes' |
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(out of 23 possible) |
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Interpretation |
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