AC-OK: Youth Screen

We are glad you are going to be coming into our office. These questions will help us see how we can help. In order to find the best services for you, we'd like to ask you a few short yes or no questions. There are no right or wrong answers and these questions may or may not apply to your situation. You may skip any question that you do not want to answer. Your answers will stay private. They are not shared with your parents, your school, or anyone other than your therapist without your permission.

Your therapist will follow-up with you regarding your answers during your first meeting, and you will have the chance to go into more detail.
    This is a required question
    This is a required question
    This is a required question