[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-190088-105":53,"doc-detail-190088-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","adolescent-intake-form-final","Adolescent Intake Form - Final","","This document is an adolescent intake form designed to gather comprehensive information about a young person's background, including family dynamics, peer relationships, and school history. It aims to understand the adolescent's social interactions, academic performance, and any individual concerns they may have. The form includes sections on family information such as parental marital status, living arrangements after divorce, and adoption status, along with a detailed checklist of potential family concerns like fighting, financial problems, and loss of a family member. Peer relations are assessed by inquiring about the adolescent's social disposition, satisfaction with their friendships, experiences with bullying, and parental views on their friends. The school history section gauges the adolescent's enjoyment of school, attendance, grade performance, and perceived effort. Finally, an open-ended section allows the adolescent to share any additional concerns or information they deem important.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/adolescent-intake-form-final/190088/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/adolescent-intake-form-final/190088.png","ImageObject",442,249,{"name":88,"@type":89},"Mason","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-29","2026-09-03",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What specific family concerns are listed in the intake form?","Question",{"text":109,"@type":110},"The form lists concerns such as fighting, disagreeing about relatives, feeling distant, financial problems, loss of a family member, abuse/neglect, and divorce/separation, among others.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the intake form assess peer relations?",{"text":114,"@type":110},"It asks about the adolescent's social self-perception (outgoing, shy), satisfaction with friendships, history of bullying, and parental views on their friends.",{"name":116,"@type":107,"acceptedAnswer":117},"What aspects of school history are covered in the form?",{"text":118,"@type":110},"The form inquires about the adolescent's enjoyment of school, attendance regularity, general grades, any significant grade changes, and whether they feel they are doing their best.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},190088,1788400665,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":126,"read_time":79},5909887256941,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","| If yes, how often do you use? ❒ Daily ❒ Weekly ❒ Occasionally ❒ Rarely\u003Cbr>FAMILY INFORMATION\u003Cbr>Are your parents married, divorced or separated?   Do you think their relationship is good? ❒ Yes ❒ No ❒ Unsure\u003Cbr>If your parents are divorced, whom do you primarily live with?   Were you adopted? ❒ Yes ❒ No\u003Cbr>FAMILY CONCERNS Please check anyfamily concerns thatyourfamily is currently experiencing ❒ Fighting ❒ Disagreeing about relatives ❒ Feeling distant ❒ Disagreeing about friends ❒ Loss of fun ❒ Alcohol use ❒ Lack of honesty ❒ Drug use ❒ Physical fights ❒ Education problems ❒ Divorce/separation ❒ Financial problems ❒ Issues regarding remarriage ❒ Death of a family member ❒ Birth of a sibling ❒ Abuse/neglect ❒ Birth of a child ❒ Inadequate housing\u003Cbr>Other concerns not listed above:\u003Cbr>PEER RELATIONS\u003Cbr>How do you consider yourself socially? ❒ Outgoing ❒ Shy ❒ Depends on the situation Are you happy with the amount of friends you have? ❒ Yes ❒ No\u003Cbr>Have you ever been bullied? ❒ Yes ❒ No If yes, please describe:   Are your parents happy with your friends? ❒ Yes ❒ No\u003Cbr>Are you involved in any organized social activities? (e.g. sports, music)? |\n| --- |\n| SCHOOL HISTORY\u003Cbr>On a scale of 1-10 (10 being the most) how much do you enjoy school?   Do you attend regularly? ❒ Yes ❒ No\u003Cbr>Generally, how are your grades?   Have there been any significant changes in your grades? ❒ Yes ❒ No\u003Cbr>Do you feel you are doing the best you can at school? ❒ Yes ❒ No ❒ Unsure\u003Cbr>INDIVIDUAL CONCERNS\u003Cbr>Is there anything else you would like to share? |","cbCaie1tdF4JRQPG","https://ap.wps.com/l/cbCaie1tdF4JRQPG","pdf",518855,10,"English","# Family Information\n## Family Concerns\n# Peer Relations\n# School History\n# Individual Concerns","[{\"question\":\"What specific family concerns are listed in the intake form?\",\"answer\":\"The form lists concerns such as fighting, disagreeing about relatives, feeling distant, financial problems, loss of a family member, abuse/neglect, and divorce/separation, among others.\"},{\"question\":\"How does the intake form assess peer relations?\",\"answer\":\"It asks about the adolescent's social self-perception (outgoing, shy), satisfaction with friendships, history of bullying, and parental views on their friends.\"},{\"question\":\"What aspects of school history are covered in the form?\",\"answer\":\"The form inquires about the adolescent's enjoyment of school, attendance regularity, general grades, any significant grade changes, and whether they feel they are doing their best.\"}]","Adolescent Intake Form - Final | PDF"]