How is school going? Prompts: Tell me about your grades, your friends, your behavior in 30. 2 1 0 - NA – – school, etc. Are there any things you worry about related to school? Please explain. 31. How many days of school do you miss in a week? in a month? 2 1 0 - NA – – 32. What are you thinking about doing after you complete high school? 2 1 0 - NA – – Do you think you will have any limits to what you can do in the future because you had a 33. 2 1 0 - NA – – transplant? If yes, please give me an example. MY SUPPORT SYSTEM Sometimes teens your age feel stressed or overwhelmed with school, family and/or their healthcare needs. What do you do to relax or relieve stress if/when you feel like this? 34. 2 1 0 - NA – – Whom do you like to call/contact when you need someone to talk to or need help? Why is this person(s) helpful? Do you participate in activities in your school or community with your family or friends? 35. 2 1 0 - NA – – Tell me about some of the things you like to do. HOW I FEEL ABOUT MYSELF Do you ever worry about your health (how you are doing) because you have had a 36. 2 1 0 - NA – – transplant? Please give me an example. PAYING FOR MY HEALTH CARE 37. How do people pay for their medications and medical care? 2 1 0 - NA – – 38. What is the name of your health insurance provider? 2 1 0 - NA – – 39. Will your insurance change when you get older? Do you know when this might happen? 2 1 0 - NA – – 40. What is a Do you know if you have to pay copays on any of your medications? 2 1 0 - NA – –
30. How is school going? Prompts: Tell me about your grades, your friends, your behavior in school, etc. Are there any things you worry about related to school? Please explain. 2 – 1 – 0 - NA 31. How many days of school do you miss in a week? in a month? 2 – 1 – 0 - NA 32. What are you thinking about doing after you complete high school? 2 – 1 – 0 - NA 33. Do you think you will have any limits to what you can do in the future because you had a transplant? If yes, please give me an example. 2 – 1 – 0 - NA MY SUPPORT SYSTEM 34. Sometimes teens your age feel stressed or overwhelmed with school, family and/or their healthcare needs. What do you do to relax or relieve stress if/when you feel like this? Whom do you like to call/contact when you need someone to talk to or need help? Why is this person(s) helpful? 2 – 1 – 0 - NA 35. Do you participate in activities in your school or community with your family or friends? Tell me about some of the things you like to do. 2 – 1 – 0 - NA HOW I FEEL ABOUT MYSELF 36. Do you ever worry about your health (how you are doing) because you have had a transplant? Please give me an example. 2 – 1 – 0 - NA PAYING FOR MY HEALTH CARE 37. How do people pay for their medications and medical care? 2 – 1 – 0 - NA 38. What is the name of your health insurance provider? 2 – 1 – 0 - NA 39. Will your insurance change when you get older? Do you know when this might happen? 2 – 1 – 0 - NA 40. What is a Do you know if you have to pay copays on any of your medications? 2 – 1 – 0 - NA
Readiness%20Assessment_MidAdolescent_%20APR2017.docx