Functional minds (adolescent rating scale) - KITRIN

Adolescent rating scale

In the past 2 weeks, how have you managed the following topics? A 10 is well and 1 is poor.

Name *

First

Last

Date of Birth *

Regulating your emotions *

1
2
3
4
5
6
7
8
9
10

School and school related tasks *

1
2
3
4
5
6
7
8
9
10

Self-esteem *

1
2
3
4
5
6
7
8
9
10

Relationship (communication, openness, boundaries) with parents *

1
2
3
4
5
6
7
8
9
10

What is your expectation(s) in therapy? *

What is your parent's expectation(s) of therapy? *