RESILIENCE Questionnaire
Please check the most accurate answer under
each statement
|
Question
|
Definitely true
|
Probably true
|
Not sure
|
Probably Not True
|
Definitely Not True
|
1. I believe that my mother loved me when I was
little.
|
|
|
|
|
|
2. I believe that my father loved me when I was
little
|
|
|
|
|
|
3. When I was little, other people helped my
mother and father take care of me and they seemed
to love me.
|
|
|
|
|
|
4. Ive heard that when I was an infant
someone in my family enjoyed playing with me, and I
enjoyed it, too.
|
|
|
|
|
|
5. When I was a child, there were relatives in
my family who made me feel better if I was sad or
worried.
|
|
|
|
|
|
6. When I was a child, neighbors or my
friends parents seemed to like me.
|
|
|
|
|
|
7. When I was a child, teachers, coaches, youth
leaders or ministers were there to help me.
|
|
|
|
|
|
8. Someone in my family cared about how I was
doing in school
|
|
|
|
|
|
9. My family, neighbors and friends talked often
about making our lives better.
|
|
|
|
|
|
10. We had rules in our house and were expected
to keep them.
|
|
|
|
|
|
11. When I felt really bad, I could almost
always find someone I trusted to talk to.
|
|
|
|
|
|
12. As a youth, people noticed that I was
capable and could get things done.
|
|
|
|
|
|
13. I was independent and a go-getter.
|
|
|
|
|
|
14. I believed that life is what you make
it.
|
|
|
|
|
|
How many of these 14 protective factors did I
have as a child and youth? (How many of the 14 were
checked Definitely True or
Probably True?) _______
|
Of these circled, how many are still true for
me? _______
|
Source: acestoohigh.com/got-your-ace-score/
|