"About My Teen" Questionnaire

Pre- and Post-Test for Active Parenting of Teens Program

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 My teen is withdrawn. 1 2 3 4 5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.

Scoring Key for “About My Teen” Questionnaire

Add the scores for the positive items:

2. _____

3. _____

5. _____

6. _____

7. _____

8. _____

9. _____

11. _____

14. _____

15. _____

18. _____

19. _____

21. _____

22. _____

23. _____

25. _____

27. _____

28. _____

29. _____

TOTAL POSITIVE ______

Next, total the score from the negative items:

1. _____

4. _____

10. _____

12. _____

13. _____

16. _____

17. _____

20. _____

24. _____

26. _____

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.