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Teenagers and Adolescents: Behavior Analysis Questionnaire (survey):
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Please Note: Each ticklish question is linked to either of your peculiar behavioral traits, so do not reply hurriedly. Think a while, before you proceed to answer. Normally, it takes around 20-25 minutes to fill out this simple questionnaire (survey). You may skip optional fields and can ignore those questions, unrelated to your overall nature.  Consultation Fee: $49 USD

Part 1: Your Personal Information (Teenagers / Adolescents)
 

Name : 
Email : 
Sex :
Age :
Presently you are staying with :
I am concerned more about my :

Describe your health concerns in brief : e. g. Emotional means Behavioral Traits like paranoia, nostalgia and Physical health concerns may be like Obesity or Acne

This is My 1 2 3 4 5 6 or 6+ months of consultation with CharmingHealth

Subscribe New Letter, Announcements. Have you tried "Bach Flower Therapy" earlier?

Part 2: Your Personality in brief (Teenagers / Adolescents)

A

How would you react about your present life style...

(Your First Reaction about your present life situation would be like this: )

B

Normally, I am considered as a pretty talkative guy/gal in my circle.

C

I think, people dominate me.!

D

Yet knowing the best solution to my problems, I often tend to seek for others' advice...... habitually.!

E

I don't understand why no body appreciates me .... alas! ... I always remain inattentive.

F

"Oops... bad luck! I missed that window seat and got the aisle one; as usual." OR "once again, I forget to bring salt and pepper.."-such trivial things are sufficient to piss you off OR make your mood worse.

G

Usually, I like to share my humdrum difficulties with my fellow colleagues, it not only relieves my tension but also gives me a feeling of freeness!

H

I don't know why "they" (-your surrounding people) shun and avoid me?

I

I feel weary at waking up, than I go to bed...!

J

Compared to my fellow colleagues, I am very very quick and impatient!

K

It is my obvious tendency to anticipate failure before taking a task!

L

I strongly believe, every misfortune always happens to me and then others!

M

Though I am facing great difficulties right now, still I am incessantly striving hard in achieving my life goals.

N

Oops.!! I forgot.. I don't know why they call me MR. DUDE?

O

If you are a "dreamy" person, then frequency of your dreams is:

P

In general, you may be considered as "such-n-such" type of person among your circle of interaction. (what you think)

Q

Your overall attitude towards your present life situation is:

Part 3: Your personality profile in Detail (Optional)
This part is optional. Still, you are encouraged to fill in the applicable information in short. 

1

Portray your medical history in brief (nature of ailment, acute or chronic, present treatment, any surgery done in past and reason, etc) also check some of the common Teenagers Negativities and
Student's Negativities

2

Do you think it is noteworthy to mention about some memorable incidents, accidents or major 'ups and downs' in life? If 'Yes', mention in brief.

3

How is your relationship with family member?
a) Normal
b) Problem with particular member
c) Not Applicable
IF (b) then describe in short

4

Present status of dating relationship
a) Normal
b) Not Normal. IF (b) describe in short
c) Not Applicable

5

Have you undergone any physical / mental shock, grief in past that you think might have affected your psyche deeply?

6

Anything particular about your behavior. (A general assessment that you would like to say, about habits, interests, fads etc.)

7

Have you observed any repetitive recurrence of your physical / mental ailment for the various reasons? If 'Yes', Please explain.

8

Do you suffer any type of black depression, gloominess (bleak or  desolate phase of mind) for no reason thereof, explain the phase in brief like its recurrence, period for which it lasts etc.

9

Do you think that you display some of the ADHD / Inattentiveness symptoms Or Learning Disability Symptoms? (Copy / Paste the applicable in the text box)

Part 4: Your Overall Nature in brief

1.

Do you usually prefer to be remain aloof and always like to maintain a safe distance from your circle of interaction? Yes No

2.

Do you tend to debate hard over trivial issues like bargaining vigorously at grocery shop, participating actively in "hot" discussions about last night's TV shows, game shows etc?
Yes No

3.

Do you think that the signs of depression or grief apparently reflect on your face while facing life abnormalities? Yes No  OR

4.

Do you think that you could successfully conceal / hide your deep-rooted grief by wearing a mask of smile while facing the people? means when things aren't going right, do you still smile?
Yes No

5.

Do you sincerely feel your presence to be pleasant within your circle of interaction? means, do people stay around when they see you? Yes No

6.

During you leisure time, would you rather read a book or watch TV?
Prefer a book  Watch TV

7.

Are you really punctual to follow your routine schedules strictly?
Yes, I am a planned person and act accordingly
Not always, but to some extent I try to follow my routine
No, I am not that much serious about my routine schedule

8.

Do you seek exactness in attire or outfits, usually prefer a way of working in pursuit of order and discipline? - means do you love a military like disciplinary routine in your everyday life and expect the same from others too! Yes No

9.

Do you make lists? Are you sure to check everything off once it's written in list form?
Yes No

10.

Do you remain very conscious about being clean and tidy at your workplace or home?
Yes To Some Extent Not at all, I am messy that way!

11.

Do you tend to criticize or react immediately when you disagree with the other's opinion?
Yes Always! I habitually tend to react immediately 
Not always but sometimes it happens
No! I am cool that way, I can very well control my emotions!!

12.

Do you believe in uncommon lifestyles like gay, lesbian or like that?Yes No

13.

Are you obsessed with your favorite band, artist, star or politician? Yes No

14.

Do you think you're "punk"? Yeah...totally  May be...I can't say  No. Never!

15.

Are you strongly intolerant of others' (particularly your colleague's or dating partner's) idiosyncrasies such as gesticulation, nodding, hiccups etc?
To be frank, I Never thought on it before!
Yes, I hate that foolishness
By now, I have developed that much capacity and able to tolerate such nasty things!

16.

Do you feel that your friends may consider you to be a weak, impotent and neglected element?
Yes, May be No, Impossible I Can't guess

17.

Do you think that you are overburdened with work than your normal working potentials?
Yes No

18.

Do you consider yourself a "prep"?
Yes, totally!  OH MY GOD! I can't guess!! Me and prep?...Never

19.

Are you easily prone to general diseases (e.g. fever, cold etc), even on the slightest alternation in the surrounding weather conditions? Yes No

20.

Do you love leadership qualities? Would you like to be remain in the steering seat so that you could control others by dictating your terms and enjoy the power so that your classmates, colleagues may follow you?
Yes, I like it but I am not that much lucky! 
No, I am a simple person and only care for my own betterment. 
Yes, I like it but I don't know why things are going wrong with me.

21.

When your friend needs help, do you help them even leaving own work incomplete?
Yes, I always run to help friends, and never care for my work!
Yes, I tend to help friends but at the same time, I also care for my work. 
I can't answer this question because it all depends upon the prevailing situation! 

22.

Are you in love with someone? Yes No

23.

Are you overcautious about the care of your beloved ones and think of them at all the time?
Yes, May be No I Can't tell

24.

Do you expect someone nearby to carry out your orders?
Yes, but I am not that much lucky!
No, I am a simple person and prefer to do my work at my own 

25.

Do you participate in outdoor games or regularly take fitness exercise (Gym) for maintaining your health? Yes No

26.

Also, do you take any health tonic or capsules or granuals for improving physical health?
Yes No OR

27.

a memory tonic / capsule for improving your memory retention capabilities?Yes No

28.

How is the nature of your sleep?
Sound Sleep Often wakeup due to dreams, nightmares etc. 
Sleeplessness, Insomnia

29.

Do you deprive yourself of sleep on purpose? Yes, often    Sometimes    No

30.

Do you suffer from nightmares? Yes  No  Sometimes / Recurring

31.

Are you really interested in your present stream of academics?
Yes, very much interested Routine, monotonous, hence fed up
Not at all

32.

Do you often tempt to cheats on tests, exams?
Duh! What is wrong?!    Sometimes it happens!   Never... Impossible

33.

Can you get along with pretty much everyone?
Yeah.. I am frank and free guy/gal!  May be! I can't say!  No! Impossible

34.

Do you find yourself insecure in the present circumstances? Yes   No   I can't tell

35.

What do you think of God?
Use God name in vain! Very often, still irregular Everyday On purpose!

36.

Do you feel that life sucks, and nothing is ever going to get better for you?
Yes No May be

37.

Do you often feel empty inside and sad? Yes  No  Sometimes / Recurring

38.

Are you always thinking about the past? Yes No May be

39.

Do you have 0 goals for your future? Yes No May be, I can't answer

40.

Are you under a shadow of strong fear about a person, cause or situation (e.g. professors, examination, father, tutor etc.)? Yes No

41.

Do you have a "Kleptomaniac tendency" linked to your behavior? "Kleptomaniac tendency" implies an irresistible impulse or urge (temptation) to steal things; irrespective of any economic motive behind that theft. Yes  No  Sometimes I become kleptomaniac!

42.

Do you receive great joy from your family? Yes   No   I can't tell

43.

Have you had to take care of a terminally ill family member?  Yes   No

44.

Are you often quiet and withdrawn? Yes   No   May be. I can't tell

45.

And, do you feel unaccepted? Yes   No   May be. I can't tell

46.

How do you react with your routine schedule?
In a normal way Reacts quickly & often get confused
Apathetic towards life

47.

Overall, you are considered as a? (what you think)
Cool Natured person Hot-tempered person 
Somewhere between cool and weird Eccentric

48.

Normally your nature is considered to be? (That you think)
Flexible/Adjustable 
Partially flexible but sometimes rigid 
Rigid / Non-adjustable

49.

Do you think that you are under the strong influence of any other person in your close proximity? Yes   No   May be, I Can't say

50.

Do you help your family members in their routine household chores?
Yes   Sometimes  Not at all.

51.

Are you under fear of some unknown cause (e.g. Ghost, Evil forces or like that)?
Yes   No   May be, I Can't say

52.

Do you feel that you keep malice/hatred for someone or is there any deep rooted jealousy for someone in your head? Yes No I can't say

53.

Do you think that you have got a tendency of envying and suspecting others?
Yes No I can't say

54.

Are you tend to get nervous / irritated over trivial life issues? OR Do you cry even when only little things happen? Yes No May be

55.

Do you feel that you have a tendency of doubting your friends, teachers, parents etc.?
Yes, always Sometimes No

56.

Do you distrust your capabilities? Yes   No   Sometimes

57.

Do you strongly feel as though life has lost all meaning? No Yes I can't say

58.

Do you feel as though no one truly understands you?  Yes No I can't guess

59.

Do you remain over conscious about hygiene and feel immediately infected, as soon as your surrounding hygiene conditions altar? Yes   To some extent  No

60.

Do you sometimes experience unnatural sensation like "creeping ants" on body, titillation's etc.?
Yes No May Be, I don't recall

61.

Do you feel self-disgust or disgrace due to a guilty or self-reproaching acts (like adultery, incest) done by you in the past?
Yes No NOT applicable If applicable, I don't care!

62.

Do you think you're "nasty" OR pervert inside?
Yeah...totally  May be...I can't guess  No. Never!

63.

Do you hate someone and think of them at all the time? Yes No May Be

64.

Do you experience drastic mood swings; such as joy and sadness, energy and apathy, optimism and pessimism during your everyday life situations? Yes  No  Sometimes

65.

Do you often feel drowsy or lethargic and sleep heavily and don't want to get out of bed?
Yes No Sometimes

66.

Do you catch yourself daydreaming at all the time, rather than taking interest in the present circumstances? Yes No May be 

67.

Do you ever feel enraged and feared of losing control with violent impulses and sometimes afraid of hurting yourself or others? Yes No

68.

Do you think that you have got the suicidal tendencies?
Yes No May be, I can't tell

69.

Do you like being alone?  Yes    No

70.

Normally your mind remains?
Stable Dwindling Between Stable & Unstable Always unstable

71.

How is / was your educational profile?
Below average Average  Above average  Extraordinary


Part 5: Addiction Tendencies in you (Optional)
A.

Are you a addicted person? Then kindly answer the following questions:
Yes, I am completely addicted person
Recurring addiction tendencies
No, I am not an addict

B. I am addicted to: (You may select multiple options.)
 alcohol drugs, smoking or chewing tobacco or any other substances like that.
 Junk food or comfort foods.
 Relationships addict such as Love and romance OR codependence.
 Excitement addict such as rage, risk,  sexual arousal and relief.
 Activities addict such as gambling, shopping, overwork-workaholic, cleaning, 
 exercising, pornography,  web-surfing or excessive
chatting
C.

Is the addiction due to mental torture?

Yes No
D.

Is the addiction due to extreme grief?

Yes No
E.

Is the addiction due to inferiority complex?

Yes No
F.

Is the addiction due to uncontrolled desire?

Yes No
G. Is the addiction due to obsession?  Yes No
H.

Is the addiction habitual? -means, it is a part and parcel of your life.

Yes No
I. Do you consider it, as a way of deriving life pleasure? Yes NO
J.

Do you believe that your habit of addiction may be due to a deep-rooted memory of some past incidents or misfortunes happened?

Yes No
K.

Does the addiction ill-effects (-like hangover) carries on to your next day's routine for a longer duration of time?

Yes No
L.

Do you really feel "nasty"  or disgusted for your actions done on the previous day, in that phase of addiction?

Yes No
M.

Do you believe that you fell prey to addiction merely because of persistence of your company (friends circle)?

Yes No
N.

Is the frequency of your addiction fluctuates widely with life situations OR remains almost constant at all the time? Fluctuates widely Remains constant

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