Question Title

* 1. How likely are you to attend school or work on a regular basis? (for example: Absent once a month or less?)

  Not at all likely Somewhat likely Less likely Likely More likely Very likely
Before Services
After Services

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* 2. How likely are you to avoid discipline problems at school or work? (for example: avoid detention, no teacher referral, no suspension, no employee write ups or no other major disciplinary action?)

  Not at all likely Somewhat likely Less likely Likely More likely Very likely
Before Services
After Services

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* 3. How likely are you to go to others (adults or peers) for help when you need it?

  Not at all likely Somewhat likely Less likely Likely More likely Very likely
Before Services
After Services

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* 4. How confident are you in your ability to follow up with potential employers, financial, medical or other professionals that link you to services? (for example: comfortable following up getting your own rides, seeking training or college information on your own-including multiple contacts?)

  Not at all likely Somewhat likely Less likely Likely More likely Very likely
Before Services
After Services

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* 5. How likely are you to avoid drugs or alcohol?

  All the time Frequently Often Sometimes Once a month or less Never use
Before Services
After Services

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