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Personal History Checklist™ for Adolescents

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

Purpose:
Facilitates completion of client history during intake of adolescents
Format:
Paper and pencil
Age range:
13 years to 17 years
Time:
Varies
Qualification level:
A
A
No special qualifications are required, although the range of products eligible for purchase is limited. Close

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.
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