1. STRENGTHS
QUESTIONAIRE
Adolescent- Teen Version 1
General Information
Name____________
Gender____________
Education____________
Educational Plans____________
Employment____________
Ethnicity____________
Age____________

2. Self
I feel as though I have control over my life and actions.
[ ] yes
[ ] no
I am capable of reaching my own successes through hard work.
[ ] yes
[ ] no
My choices impact my future.
[ ] yes
[ ] no
Constant positive choices, can lead to a change in habits and negative situations.
[ ] yes
[ ] no
I have a quality sense of self-esteem and independence.
[ ] yes
[ ] no
I have healthy habits and thoughts.
[ ] yes
[ ] no
At times, I have to wait for positive things to happen in my life.
[ ] yes
[ ] no
I have a strong belief in a higher power.
[ ] yes
[ ] no
I spend a moderate amount of time with spiritual materials (music, study, canon, etc.).
[ ] yes
[ ] no
My faith has a large impact on my internal feelings and thoughts.
[ ] yes
[ ] no
My faith has a large impact on my actions and how I am in my daily life.
[ ] yes
[ ] no
I am beginning to understand my role in my relationships with others.
[ ] yes
[ ] no
I typically react to a stressful event by:
[ ] Creating a detailed plan.
[ ] Jumping in to solve the problem head first.
[ ] Assume the worst.
[ ] Evaluate the situation.
[ ] Seek the help of others.
[ ] Handle the situation independently.
My first reaction to a stressful event is to:
[ ] Adapt
[ ] Confidence
[ ] Aggression
[ ] Depression
[ ] Calmness
[ ] Anxiety
[ ] Apathy/ Avoidance
[ ] Guilt
The severity of my reaction affects my ability to function in my daily life. [ ] yes [ ] no
After having time to think/cool down, my first reaction to a stressful event is to:
[ ] Adapt
[ ] Confidence
[ ] Aggression

3. [ ] Depression
[ ] Calmness
[ ] Anxiety
[ ] Apathy/ Avoidance
[ ] Guilt
The severity of my reaction affects my ability to function in my daily life. [ ] yes [ ] no
When bad things happen, I:
[ ] Feel prepared/ have prepared in advance
[ ] Become Angry
[ ] Break down
[ ] Panic
[ ] Avoid dealing with the situation
[ ] Blame myself
When good things happen, I:
[ ] Make the most out of the day
[ ] Feel I earned some enjoyment
[ ] Feel unworthy
[ ] Become anxious of what’s next
[ ] Avoid becoming too excited
Family
Our family works as a team; as a family we:
[ ] support each other in our endeavors outside of the home
[ ] open to input from all family members
[ ] feel everyone’s opinion is important and useful
All the time Most of the time Some of the time Occasionally Never
My family is a solid, supportive unit. ○ ○ ○ ○ ○
I can be open and honest with my
parents or guardian.
○ ○ ○ ○ ○
I believe my parents or guardian is
open and honest with me.
○ ○ ○ ○ ○
I have support and a positive
relationship with my extended family.
○ ○ ○ ○ ○
Open expression and communication
are encouraged in my family.
○ ○ ○ ○ ○
In my family I am able to express my
emotions and differing views without
being judged.
○ ○ ○ ○ ○
My family is close and has a sense of
unity and trust.
○ ○ ○ ○ ○
I am free to express myself as I see fit,
even if it challenges norms.
○ ○ ○ ○ ○
I have a positive relationship with my
mother
○ ○ ○ ○ ○
I have a positive relationship with my
father
○ ○ ○ ○ ○

4. Building Hope Community Life Center
Building Hope Community Life Center gives sense of community support through:
[ ] Mentorship
[ ] Family Atmosphere
[ ] Social Support
[ ] Dependability
All the time Most of the time Some of the time Occasionally Never
I can depend on support from
BHCLC.
○ ○ ○ ○ ○
BHCLC gives me a better sense of
connection to my:
○ ○ ○ ○ ○
Culture ○ ○ ○ ○ ○
Ethnicity ○ ○ ○ ○ ○
Resources ○ ○ ○ ○ ○
Spirituality ○ ○ ○ ○ ○
BHCLC is a safe environment where I
feel comfortable enough to express my
beliefs.
○ ○ ○ ○ ○
Activities with BHCLC has helped me
develop my spirituality in new ways.
○ ○ ○ ○ ○
BHCLC gives me opportunities to
help my community or become more
involved.
○ ○ ○ ○ ○
BHCLC has changed the amount of
exposure participants have to crime.
○ ○ ○ ○ ○
All the time Most of thetime Some of the time Occasionally Never
BHCLC gives me access to:
Reliable people and resources. ○ ○ ○ ○ ○
Social Development. ○ ○ ○ ○ ○
Spiritual Development. ○ ○ ○ ○ ○
Safe alternatives. ○ ○ ○ ○ ○
Educational development. ○ ○ ○ ○ ○
Community awareness. ○ ○ ○ ○ ○
Personal growth. ○ ○ ○ ○ ○