Personal History Checklist™ for Adolescents

Gather client history during intake

Details

Purpose

Facilitates completion of client history during intake of adolescents

Authors

Edward H. Dougherty, PhD, and John A. Schinka, PhD

Administration Formats

Print

Additional Details

Gather an Adolescent Client's Personal History to Aid in the Intake Process

Checklist for Adolescents obtains a personal history of adolescents.

Features and benefits

  • Includes 123 items.
  • Written at a seventh-grade reading level.
  • Suitable for clients aged 13-17 years.
  • Can be completed by the adolescent, his or her parent or guardian, or the clinician.
  • Provides information about the presenting problem as well as the client’s personal information; background history; developmental history; family history; educational history; occupational history; and health, habits, and behavior.
For licensing information, please contact PAR Customer Support.
Photo of Personal History Checklist ™  for Adolescents
Age Range 13 years to 17 years
Admin Time Varies
Qualification Level A

Shop by Kit