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Stress Management Tools for Teens - Information Page
Assessment of readiness to participate
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Name
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Age
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Female
Male
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Contact details (Participant): email, phone, Skype
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Contact details (Parent/Carer - if applicable): email, phone, Skype
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What is your reason(s) for wanting to participate in this program at this time?
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What form(s) does stress take for you?
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What practical ways do you use to manage stress?
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Which of the following areas are you consistent in?
healthy diet
adequate sleep
exercise
social connections
family connections
commitment to goals
Use of social media on a daily basis (1 is low 5 is high)
1
2
3
4
5
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What are the 2 main positive emotions that you experience regularly?
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What are the 2 main negative emotions that you experience regularly?
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Any physical illnesses or disabilities; emotional challenges; short or long-term diagnosis? Please give details
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Are you on medication?
Yes
No
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