Risk Factors Diagnostic Evaluation Test - the question form

Questions: 54 · 10 minutes
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Male form
Female form
1. When I do something good, my parents notice it and praise me.
Always
Often
Rarely
Never
2. Members of my family argue and shout at each other.
Always
Often
Rarely
Never
3. When I am with my family, I feel safe.
Always
Often
Rarely
Never
4. My parents do not understand me.
Always
Often
Rarely
Never
5. I am unsure who to listen to: my father says one thing and my mother says another.
Always
Often
Rarely
Never
6. My parents know where I am and who I spend time with.
Always
Often
Rarely
Never
7. I have a lot of free time.
Always
Often
Rarely
Never
8. I attend clubs, groups, or classes.
Always
Often
Rarely
Never
9. I read books.
Always
Often
Rarely
Never
10. I play computer games.
Always
Often
Rarely
Never
11. I spend time on the internet.
Always
Often
Rarely
Never
12. I watch television.
Always
Often
Rarely
Never
13. I spend time with friends outside.
Always
Often
Rarely
Never
14. I do not do anything.
Always
Often
Rarely
Never
15. Parents
Always
Often
Rarely
Never
16. Friends
Always
Often
Rarely
Never
17. I feel bored, with nothing interesting to do.
Always
Often
Rarely
Never
18. I feel helpless.
Always
Often
Rarely
Never
19. I feel sluggish and indifferent.
Always
Often
Rarely
Never
20. I agree when I am offered to do something wrong.
Always
Often
Rarely
Never
21. I feel angry at the whole world.
Always
Often
Rarely
Never
22. I put off until tomorrow what I should do today.
Always
Often
Rarely
Never
23. I think before doing anything.
Always
Often
Rarely
Never
24. Parents
Never
Rarely
Often
Always
25. Friends
Never
Rarely
Often
Always
26. Teachers
Never
Rarely
Often
Always
27. To relatives
Never
Rarely
Often
Always
28. Cigarette smoking
Negatively
Neutral
Positive
29. Beer drinking
Negative
Neutral
Positive
30. Strong alcohol use
Negative
Neutral
Positive
31. Attitude toward drug use, including synthetic cannabinoids (e.g., spice)
Negative
Neutral
Positive
32. Do you smoke?
Never
Rarely
Often
Always
33. Drink alcohol
Never
Rarely
Often
Always
34. Use drugs
Never
Rarely
Often
Always
35. Smoking
Never
12
14
16
18
21
22 and older
36. Use alcohol
Never
12
14
16
18
21
22 and older
37. Use drugs
Never
12
14
16
18
21
22 and older
38. Cigarette smoking
Very harmful
More harmful than beneficial
More beneficial than harmful
Beneficial
39. Drinking beer
Very harmful
More harmful than beneficial
More helpful than harmful
Useful
40. Drinking strong alcoholic beverages
Very harmful
More harmful than beneficial
More helpful than harmful
Beneficial
41. Use of drugs (including synthetic cannabinoids/spice)
Very harmful
More harmful than beneficial
More helpful than harmful
Beneficial
42. I have friends or classmates who smoke.
Yes
No
43. I have friends or classmates who drink alcohol.
Yes
No
44. I have friends or classmates who use drugs.
Yes
No
45. My attitude toward peers who smoke or drink alcohol is:
I am indifferent
Approved
I disapprove
46. I have tried cigarettes.
Yes
No
47. I have tried alcohol.
Yes
No
48. I have tried drugs.
Yes
No
49. Compared with my classmates, my academic performance is:
Better
About the same as others
Worse
50. I skip classes without a valid reason:
Often
Rarely
Never
51. Teachers encourage my efforts.
Never
Rarely
Often
Always
52. Teachers inform my parents about my successes or failures:
Never
Rarely
Often
Always
53. Lately, my school subjects have been:
Very interesting
Interesting
Not very interesting
Not interesting at all
54. Over my lifetime, I have had to change my educational institution:
Not once
Once
2 times
3 or more times
1. When I do something good, my parents notice it and praise me.
Always
Often
Rarely
Never
2. My family members argue and yell at each other.
Always
Often
Rarely
Never
3. When I am with my family, I feel safe.
Always
Often
Rarely
Never
4. My parents do not understand me.
Always
Often
Rarely
Never
5. I feel unsure about whom to listen to when my father says one thing and my mother says another.
Always
Often
Rarely
Never
6. My parents know where I am and who I am with when I go out.
Always
Often
Rarely
Never
7. I have a lot of free time.
Always
Often
Rarely
Never
8. I attend clubs, groups, or classes.
Always
Often
Rarely
Never
9. I read books.
Always
Often
Rarely
Never
10. I play computer games.
Always
Often
Rarely
Never
11. I spend time on the internet.
Always
Often
Rarely
Never
12. I watch television.
Always
Often
Rarely
Never
13. I spend time with friends outside.
Always
Often
Rarely
Never
14. I do not do anything.
Always
Often
Rarely
Never
15. Parents
Always
Often
Rarely
Never
16. Friends
Always
Often
Rarely
Never
17. I feel bored, uninterested in anything, and have nothing to do.
Always
Often
Rarely
Never
18. I feel helpless.
Always
Often
Rarely
Never
19. I feel listless and indifferent.
Always
Often
Rarely
Never
20. I agree when I am asked to do something wrong.
Always
Often
Rarely
Never
21. I feel angry at the whole world.
Always
Often
Rarely
Never
22. I put off until tomorrow what I should do today.
Always
Often
Rarely
Never
23. I think before I do something.
Always
Often
Rarely
Never
24. Parents
Never
Rarely
Often
Always
25. Friends
Never
Rarely
Often
Always
26. Teachers
Never
Rarely
Often
Always
27. To relatives
Never
Rarely
Often
Always
28. Cigarette smoking
Negative
Neutral
Positive
29. Attitude toward drinking beer
Negative
Neutral
Positive
30. Use of strong alcoholic beverages
Negative
Neutral
Positive
31. Attitude toward drug use, including synthetic cannabinoids ("spice")
Negative
Neutral
Positive
32. Smoke
Never
Rarely
Often
Always
33. Drink alcohol
Never
Rarely
Often
Always
34. Use drugs
Never
Rarely
Often
Always
35. Age at which you started smoking
Never
12
14
16
18
21
22 and older
36. Age at first alcohol use
Never
12
14
16
18
21
22 and older
37. Have you used drugs?
Never
12
14
16
18
21
22 and older
38. Cigarette smoking
Very harmful
More harmful than helpful
More helpful than harmful
Beneficial
39. Drinking beer
Very harmful
More harmful than helpful
More beneficial than harmful
Useful
40. Use of strong alcoholic beverages
Very harmful
More harmful than beneficial
More helpful than harmful
Beneficial
41. Use of drugs, including synthetic cannabinoids (spice)
Very harmful
More harmful than helpful
More beneficial than harmful
Beneficial
42. I have friends or classmates who smoke.
Yes
No
43. I have friends or classmates who drink alcohol.
Yes
No
44. I have friends or classmates who use drugs.
Yes
No
45. My attitude toward peers who smoke or drink alcohol is:
Indifferent
Approved
Disapprove
46. I have tried cigarettes.
Yes
No
47. I have tried alcohol.
Yes
No
48. I have tried drugs.
Yes
No
49. Compared with my classmates, my academic performance is:
Better
About the same as everyone else
Worse
50. I skip classes without a valid reason.
Often
Rarely
Never
51. Teachers encourage my efforts.
Never
Rarely
Often
Always
52. Teachers inform my parents about my successes or failures.
Never
Rarely
Often
Always
53. Recently, my school subjects have been:
Very interesting
Interesting
Uninteresting
Not interesting at all
54. In my lifetime, I have had to change educational institutions:
Never
Once
2 times
3 or more times
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