What time do you usually go to sleep? What time do you get up?

When you get up, do you feel rested or still tired?

What do you usually have for breakfast? For dinner? Who fixes your meals?

Did you ever have a serious accident (burn, fall, broken bone, auto, etc.)?

Were you ever in the hospital? Did you have any surgeries?

Did you have any scary or upsetting experiences with a doctor, nurse, or hospital?

Yeah, I had a scary and upsetting experience with my doctor, but I’m not allowed to talk about it.  I’m under court order not to talk about it!!

Do you get sick often? With what?

(older kids/teens) Have you ever injured yourself intentionally (cutting, banging head, etc.)

(older kids/teens) Have you ever thought about killing yourself? Have you ever tried?