"Teenage Problems"
Please take a few minutes and answer these questions. Most of them are yes or no
questions and none of them are required to be answered; they could be a big help.
Keep this in mind that this questionnaire is only for research purposes. If there is a
question that you really do not want to answer, you can simply skip it and please be
honest and give the best answer to each question.
Interview >
male
                                    female
age
 
 
Have you ever smoked?
What? How often do you
do it?
 
 
Have you ever drunk?
What? How often do you
do it?
 
 
Have you ever had sex?
What? How often do you
do it? What were your
feelings and happened
the first time?
 
 
Do you like living with
your parents? Please
explain why or why not.
 
 
Do you have any
siblings? If yes, how good
is your relationship with
them
 
 
Do you believe in God or
any religion?
 
 
What bothers you the
most?
 
 
What makes you happy?
 
 
Who do you follow as a
model in your life?
 
 
Do you have a target or a
goal in your life?
 
 
Do you feel lost and/or
confused? About what?
Why?
 
 
Do you have a best
buddy to talk to? Do you
feel lost and/or confused?
 
 
Tell me about your
thoughts and talk a little
bit about the problems
that you are having?
 
 
Have you ever thought
about committing suicide?
and what happened?
 
 
Do you have somebody
that you care about?
explain
 
 
Do you have somebody
who cares about you?
what is your relationship?
 
 
Can you be on your own
in taking care of yourself?
Do you need someone to
help you with your life or
you can be on your own?
 
 
What do you do when you
are really broken and
down?
 
 
What do you usually do
when you have free time
or nothing to do?
 
 
Do you play any kind of
instrument?
 
 
Are you happy with who
you are and what you
have got in your life?
 
 
Is there anyone that you
know and you wish you
were them? explain their
situation in comparison to
yours.
 
 
Would you go to school if
you had the choice of
going to school or not?
 
 
What is your biggest
dream?
 
 
Do you like having
children? and if yes, how
would you treat them?
 
 
What do you like to study?
 
 
       
If you want, you can type
your email address here
so I can contact you give
you a few suggestions
that maybe helpful for you
 
 
Please Choose a
nick-name for yourself so
I can answer your
questions and thank you
for your comments
 
 
 
 
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