ANOREXIA:
[ ] You have dry skin.
[ ] You eat one meal.
[ ] You're very weak.
[ ] You hate yourself.
[ ] You starve yourself.
[x] You have low self esteem.
[ ] You use laxatives.
[ ] You need to be more skinny.
[ ] People always say you're skinny, but you think you're fat.
[ ] People think you are too skinny.
Total: 1
ATTENTION DEFICIT HYPERACTIVE DISORDER:
[x] Your mind is all over the place.
[x] You are hyper most of the time.
[ ] You barely pay attention to anything.
[x] You can't cooperate well.
[ ] You talk all the time.
[ ] You need attention 24/7.
Total: 3
BIPOLAR DISORDER:
[x] You can act wild at times then the next day you are depressed.
[x] You are very irritable.
[x] You are antisocial.
[ ] You have very high self esteem sometimes.
[ ] You are abusing alcohol, drugs, or sex.
[x] You have thought of or attempted suicide.
Total: 4
BULIMIA:
[ ] You throw up all of your food.
[ ] You throw it up even when you don't feel sick.
[ ] You have no control over how you eat.
[ ] You use laxatives.
[ ] You have overly exercised to where you almost fainted.
[ ] You always say you are fat, when you aren't.
[ ] People think you're way too skinny.
Total: 0
CONDUCT DISORDER:
[ ] You are a bully.
[x] You threaten other people.
[ ] You often find yourself in fights.
[x] You have used a weapon that could cause injury to others.
[ ] You are cruel to humans or animals.
[ ] You have raped or molested someone.
[ ] You destroyed property on purpose.
[ ] You always lie.
[ ] You stay out all night.
[x] You have/tried to run away from home.
Total: 3
DEPRESSION:
[ ] You are always sad.
[ ] You find no hope in your future.
[ ] You find no longer excitement over the activities you use to love.
[ ] You always find yourself around the house all day.
[x] You have low self esteem.
[x] Everything bad that happens is always your fault.
[ ] You always seem to be weak or have physical features hurt.
[ ] You are failing school.
[x] You have thought of or attempted suicide.
[x] You have/tried to run away from home.
[ ] Hope is no longer there for you.
Total: 4
AUTISM/ASPERGER SYNDROME:
[x] You are socially awkward
[x] You have trouble focusing on things
[x] You usually have trouble sleeping
[x] Sometimes you have a lot of energy
[ ] You have trouble talking or you can't talk at all.
[x] You flap your hands when your excited
[x] You daydream 24/7
[x] You get upset easily
[x] Sometimes it feels like no one cares about you
Total: 8
OBSESSIVE COMPULSIVE DISORDER:
[ ] You have daily rituals.
[ ] You have disturbing thoughts or thoughts you hate.
[x] You have to do a certain thing until it feels right.
[x] You have to keep things in a certain order.
[x] You have harmed yourself.
[x] You have to check some stuff over again.
Total: 4
POST-TRAUMATIC STRESS DISORDER:
[ ] You repeatedly have flashbacks of horrible moments or memories in your life.
[ ] You repeatedly have dreams of horrible moments or memories in your life.
[x] You sometimes think the event will happen again.
[x] You can be/are antisocial.
[ ] You have lost interest in the things you used to love.
[x] You have not had a lot of sleep lately.
[ ] You worry about dying at a early age or dying at all.
[x] You can have angry outbursts.
[ ] You act younger than your age.
Total: 4
SCHIZOPHRENIA:
[ ] You often have hallucinations.
[x] You have strange, unusual dreams or thoughts.
[x] You can be confused about reality and fantasy.
[x] You think people are always staring or talking about you.
[x] You have extreme anxiety or fearfulness.
[x] You do not take care of your hygiene like you should.
[ ] You are very shy.
[x] You often talk to yourself.
Total: 6









