Serving Hands. Caring Hearts. Fostering Hope.

Blues Teen Post Survey

COBYS > Blues Teen Post Survey

Name(Required)

Email(Required)

Below is a list of the ways you might have felt or behaved. Please tell me how often you have felt this way during the past week.(Required)

	Rarely or none of the time (less than 1 day)	Some or a little of the time (1-2 days)	Occasionally or a moderate amount of time (3-4 days)	Most or all of the time (5-7 days)
I was bothered by things that usually don't bother me.
I did not feel like eating. I wasn't very hungry.
I wasn't able to feel happy, even when my family or friends tried to help me feel better.
I felt like I couldn't pay attention to what I was doing.
I felt down and unhappy.
I felt like I was too tired to do things.
I felt like things I did before didn't work out right.
I felt scared.
I didn't sleep as well as I usually sleep.
I was more quiet than usual.
I felt lonely, like I didn't have any friends.
I felt like kids I know were not friendly or that they didn't want to be with me.
I felt like crying.
I felt sad.
I felt like people didn't like me.
It was hard to get started doing things.

Below is a list of the ways you might have felt or behaved. Please tell me how often you have felt this way during the past week.(Required)

	Rarely or none of the time (less than 1 day)	Some or a little of the time (1-2 days)	Occasionally or a moderate amount of time (3-4 days)	Most or all of the time (5-7 days)
I felt like I was just as good as other kids.
I felt like something good was going to happen.
I was happy.
I had a good time.