TEENS(ages 13-19)"

THE CLASSES
Your child once had a halo and wings, but that seems like a different lifetime ago now! Some other kid has taken their place and they look like your sweet kid but it seems they are an imposter! 

Puberty is very tough and with the day and age we now live in, there are no boundaries out there and the children lose their way very easily.
 It's hard being a parent plus add to that, seeing your child suffer or rebel is almost more than we can bear! You know they will listen to someone else more readily than they will to you, unfortunately! I address all the top teen issues with some creative tips for them that they can apply immediately! Send your teen(s) to me and watch them turn around with a greater sense of confidence! Be prepared though! They won't want to come at first, but if you insist, they will grow to look forward to our sessions! From time to time, we will schedule outings and parties with other teens I am counseling. All students must be pre-registered and pay before attending the class. No refunds. (parent may fill this out for their teen)

THE COUNSELING
    The first step to making an appointment for free counseling is for   you to copy and paste the following into a word document and then have your teen fill it out. Then send it to my email as an attachment:

THE YOUTH BRIGADE QUESTIONAIRRE

Please fill out all the following questions and take all the tests I am asking for. Your answers are confidential and won’t be shared with anyone. By the time I study your answers and do my research, and visit with you about the results, you will know yourself better than you ever have in your life and many things that are confusing now, will be much clearer to you! Let’s get started!


NAME:
EMAIL:
DATE OF BIRTH: AGE:
ADDRESS LINE:
PHONE:
NAMES OF YOUR PARENTS:
FACEBOOK PAGE NAME:


1. TRUE__ FALSE__ MY PARENTS ARE STILL MARRIED TO EACH OTHER BUT THEY DON’T GET ALONG   
2. TRUE__ FALSE__ MY PARENTS ARE NO LONGER MARRIED AND NO LONGER GET ALONG
3. TRUE__ FALSE__ MY PARENTS ARE STILL MARRIED AND GET ALONG VERY WELL
4. TRUE__ FALSE__ MY PARENTS ARE NO LONGER MARRIED AND GET ALONG VERY WELL
5. TRUE__ FALSE__ I AM HAPPY WITH MY BODY
6. TRUE__ FALSE__ I AM HAPPY WITH MY PARENTS
7. TRUE__ FALSE__ I AM HAPPY WITH THE WAY I LOOK
8. TRUE__ FALSE__ I FEEL SELF-CONSCIENCE MOST OF THE TIME
9. TRUE__ FALSE__ I LOVE GOING TO SCHOOL 
10. TRUE__ FALSE__ I THINK I HAVE AN ADDICTION TO MY PHONE
11. TRUE__ FALSE__ MY PARENTS ARENT HAPPY WITH ME 
12. TRUE__ FALSE__ THERE ARE PEOPLE WHO BULLY ME ON A REGULAR BASIS
13. TRUE__ FALSE__ I CANNOT SEEM TO COMMUNICATE WITH ANYONE ABOUT MY FEELINGS
14. TRUE__ FALSE__ I AM DEPRESSED
15. TRUE__ FALSE__ I THINK I HAVE A PROBLEM WITH DRUGS
16. TRUE__ FALSE__ I THINK I HAVE A PROBLEM WITH ALCOHOL
17. TRUE__ FALSE__ I CANNOT GET ALONG WITH MY BROTHERS OR SISTERS
18. TRUE__ FALSE__ I WISH I HAD A FRIEND
19. TRUE__ FALSE__ I THINK ABOUT SEX A LOT
20. TRUE__ FALSE__ I MAKE GOOD GRADES IN SCHOOL
21. TRUE__ FALSE__ I HAVE FAILED A GRADE IN SCHOOL
22. TRUE__ FALSE__ SOMETIMES I FEEL LIKE HURTING SOMEONE
23. TRUE__ FALSE__ I HAVE A PLAN FOR MY FUTURE AND I AM HAPPY ABOUT IT
24. TRUE__ FALSE__ SCHOOL IS UNSAFE
25. TRUE__ FALSE__ HOME IS UNSAFE
26. TRUE__ FALSE__ I FEEL PRESSURED TO HAVE SEX AND I DON’T WANT TO
27. TRUE__ FALSE__ MY BOYFRIEND/GIRLFRIEND IS CONTROLLING
28. TRUE__ FALSE__ I HAVE BEEN FORBIDDEN TO SEE MY 
29. TRUE__ FALSE__ I HAVE A BOYFRIEND/GIRLFRIEND
30. TRUE__ FALSE__ MY PARENTS LIKE MY BOYFRIEND/GIRLFRIEND
31. TRUE__ FALSE__ I THINK I AM BISEXUAL OR HOMOSEXUAL BUT I AM AFRAID TO TELL ANYONE
32. TRUE__ FALSE__ SOMETIMES I THINK ABOUT HURTING MYSELF
33. TRUE__ FALSE__ SOMETIMES I THINK ABOUT HURTING OTHERS
34. TRUE__ FALSE__ I WATCH/LOOK AT PORNOGRAPHY
35. TRUE__ FALSE__ I AM A VIRGIN
36. TRUE__ FALSE__ I SMOKE CIGARETTES
37. TRUE__ FALSE__ I HAVE A JOB
38. TRUE__ FALSE__ THERE IS ABUSE TOWARD ME OR MY BROTHERS OR SISTERS AT HOME
39. TRUE__ FALSE__ MY PARENTS ARGUE A LOT
40. TRUE__ FALSE__ I AM CONFUSED A LOT
41. TRUE__ FALSE__ I WANT COUNSELING TO BE ABLE TO TALK SAFELY TO SOMEONE ABOUT THE WAY I AM FEELING OR THINGS I CAN’T FIGURE OUT ALONE


PLEASE COMPLETE THE FOLLOWING SENTENCES:

I AM EMBARRASSED BECAUSE_____________________________________________


I AM AFRAID THAT------------------------------------------------------------------------------------


I WISH THAT---------------------------------------------------------------------------------------------


I AM SCARED ABOUT---------------------------------------------------------------------------------


---------------------------------------------------------------------MAKES ME HAPPY


----------------------------------------------------------------------MAKES ME MAD


    After I receive this in my email, I will go over it and then call you for an appointment. Please allow for 2-3 hours with us when you set your child’s appointments. I never go according to the length of time you are here – I depend on being led by the Holy Spirit and some appointments take longer than others. 
    
   My time is very limited, so if you cancel an appointment, it hurts other teens waiting in line for their appointment. I allow one canceled appointment but after that, if there is another, I can no longer make appointments with you. 

   I realize that completing the questionnaire will take time, but if you are committed to helping your child, you will do whatever it takes to get help. There are people who won't do the work, but we are hoping you aren't one of them. Your child is worth it. Do it today. The counseling is free for heaven's sake!

   There is never a charge for counseling-  only for the class which accompanies the counseling-$30.00 per child, payable before we begin at my counseling table the day of your appointment.