•  AUBREY K. EWING PH.D. & ASSOCIATES, P.A.                                                                   1230 So. Federal Hwy, Boynton Beach, FL 33435

     TEEN & YOUNG ADULT CLINICAL QUESTIONNAIRE

    Please answer all of the questions on the following pages as honestly and accurately as you can. Your answers to these questions are private and no one will see them but your counselor (not even parents unless you give permission The information you provide gives us a head-start in understanding how we can be of help.

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  • HISTORY OF IMPORTANT LIFE EVENTS AND PROBLEMS

  • Thank you for taking the time to answer these important questions. The information you provided is helpful to your counselor in getting to know you and how to best help you and your family.

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