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Delinquent Peers Questionnaire-DO NOT USE THIS COPY

Screening Visit

Screening

Submitted by Lab on Mon, 03/18/2013 - 20:12

Below is a list of questions. Please read each question carefully and circle your answer. Please answer each question as honestly as you can using the numbers 0=None, 1=A few, 2=Some, 3=Most

In the last month, how many of your friends:

1. Used a weapon or force to get money or things from people? *

2. Attacked someone with a weapon or with the idea of seriously hurting them? *

3. Hit someone with the idea of hurting them? *

4. Stole something worth more than $100? *

5. Stole something worth more than $5 but less than $50? *

6. Damaged or destroyed someone else's property on purpose? *

7. Took a car or motorcycle for a ride or drive without the owner's permission? *

8.skipped classes without an excuse? *

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Delinquent Peers Questionnaire-DO NOT USE THIS COPY

Screening Visit