BRF - Parent/Guardian Benchmark Survey

Parent/Guardian Survey

This survey is to be completed by the parent or guardian only, NOT by the teen. Choose whichever answer seems to best describe your teen, or what has been most applicable for the past seven days.

PROMIS SF 4a - Positive Effect

	Never	Rarely	Sometimes	Usually	Always
My child felt happy
My child felt great
My child felt cheerful
My child felt joyful

PROMIS SF 4a - Meaning & Purpose

	Never	Rarely	Sometimes	Usually	Always
My child is hopeful about his/her future
My child can reach his/her goals in life
My child thinks his/her life is filled with meaning
My child thinks his/her life has purpose

PROMIS SF 8a - Anxiety (Parent Proxy)

	Never	Rarely	Sometimes	Usually	Always
My child felt scared
My child felt worried
My child felt like something awful might happen
My child worried when he/she was at home
My child got scared really easily
My child worried about what could happen to him/her
My child worried when he/she went to bed at night

Please add anything else you feel is important for us to know about the teen:
Should be Empty: