Life And Family
Answering these self-assessment questions honestly can help
you get matched to services or information that can make your life easier to manage.
| Answer the following
questions using the key shown here: |
| A B C D |
1. I'd like to talk with someone about finding
a place to live. |
| A B C D |
2. I wish my family didn't fight and argue so
much. |
| A B C D |
3. My friends or family try to talk me out of
getting a job or training. |
| A B C D |
4. Caring for a family can be almost too much
to bear. |
| A B C D |
5. I am responsible for the care of an elderly
relative. |
| A B C D |
6. If my partner did not want me to work or go
to school I would probably quit. |
| A B C D |
7. I cannot count on my family to give me a
ride, watch my child, or loan me money if I need it to stay in school. |
| A B C D |
8. Managing time is not my strong point. |
| A B C D |
9. 911 has been called to break up a family
argument. |
| A B C D |
10. Sometimes I feel like my family and friends don't want
me to get a job or an education. |
Scoring:
Count the total number of A's and B's. _____.
If you have one or more, complete a Life And
Family Action Plan. |
Life And Family
Action Plan
Here are some
materials and resources that are available than I can use on my own:



Here are some classes I can take,
workshops I can attend, and groups I can join:



I can make an appointment to talk
one-on-one with a counselor on one of these topics:



Developed by Cygnet Associates
590 Sherman Avenue, Waynesburg, PA 15370; (412) 627-3630; Cygnet84@aol.com.
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