Personal Problems Checklist For Adults John A. Schinka, Ph.D Name: ________________________________________ Age: _____________ Sex: _______ Marital Status: ________________ Date: ____________ 1620 N. Florida Ave. Lutz, FL 33549 1-800-331-TEST (8378) www.parinc.com – – – Copyright© 1985 by Psychological Assessment Resources, Inc. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources. Inc. all problems which trouble you. Circle the most important.
Personal Problems Checklist For Adults John A. Schinka, Ph.D Name: ________________________________________ Age: _____________ Sex: _______ Marital Status: ________________ Date: ____________ 1620 N. Florida Ave. – Lutz, FL 33549 – 1-800-331-TEST (8378) – www.parinc.com Copyright© 1985 by Psychological Assessment Resources, Inc. All rights reserved. May not be reproduced in whole or in part in any form or by any means without written permission of Psychological Assessment Resources. Inc. all problems which trouble you. Circle the most important.
Personal%20Problems%20Checklist.docx