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ADOLESCENT QUESTIONNAIRE Name: Age: Date: SOCIAL HISTORY 1. With whom do you live? Check all that apply Mother Father Guardian Foster Parent Stepmother Stepfather Brother/Sister(s) Other: 2. During
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Adolescent questionnaire social history is a tool used to gather information about an adolescent's background, family, education, and social relationships.
Healthcare professionals, social workers, or researchers working with adolescents may be required to file adolescent questionnaire social history.
Adolescent questionnaire social history can be filled out by interviewing the adolescent, their family members, and by reviewing medical and educational records.
The purpose of adolescent questionnaire social history is to gather information that can help healthcare professionals or social workers understand the adolescent's background and provide appropriate care or support.
Information such as family history, education, living situation, social relationships, and any past traumas or experiences should be reported on adolescent questionnaire social history.
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