LIST OF ISSUES MANUAL CHECKS
name:
Gender :
No. Absent :
class:
Read carefully the statements below and tick problems into complaints and problems that are bothering you at the present time by circling the appropriate number of problems.
I. List Personal Problems
1. Frequent nightmares.
2. Anxious or worried about something uncertain.
3. Easy to forget.
4. Frequent daydreaming or fantasizing.
5. sloppy or careless.
6. Often moody and / or feel unhappy.
7. Experiencing the loss or hardship because too cautious.
8. Less serious about something important.
9. Feeling life is meaningless.
10. Often a failure and / or easily discouraged
11. Easy trepidation or worry in the face and / or express something.
12. Timid, shy, and / or easy to become confused.
13. stubborn or hard to change their own opinion though others said it is incorrect.
14. The fear of trying something new.
15. Easy to anger or unable to control himself.
16. Feeling lonely and / or afraid to be left alone.
17. Often behave, act, or act childish.
18. Inferiority or lack of confidence.
19. Less open to other people.
20. Often exaggerate something that was not necessary.
II. List of Issues Muda Mudi
1. Require information about the issue of sex, dating and / or marriage.
2. Having problems because of embarrassment and less open in talking about sex, girlfriends and / or mate.
3. Worry not get a girlfriend or a good match / fit.
4. Too thinking about sex, romance, courtship or marriage.
5. Having a problem because it is banned or feel inappropriate relationship
6. Less attention of the other sex or girlfriend.
7. Having trouble because they want to have a boyfriend.
8. Awkward in the face of the other sex or girlfriend.
9. It is difficult to control sexual impulses.
10. Having trouble in choosing close friends of the other sex or girlfriend
11. Having problems because of fear or have too much associated with the other gender or girlfriend.
12. Clap hand with a close friend or a girlfriend.
13. Fear of abandonment boyfriend or heartbreak, jealousy or love triangles.
14. Fearing forced to marry.
15. Having a problem because it is often easy to fall in love and / or longing for a girlfriend
III. List of Problem Situation and Relationships in the Family
1. Problematic because both parents live separated or divorced.
2. Having problems because of the father and / or the birth mother had died.
3. Worrying about the health condition of a family member.
4. Having a problem for the state and the equipment shelter and / or old people's home is inadequate.
5. Alarming condition of parents who work too hard
6. The family complained about the financial situation.
7. Alarming situation of parents who live far away.
8. Problematic for the mother or father will marry again.
9. Worry not be able to meet the demands or expectations of parents or other family members.
10. The thought and wondered if being the child of another family.
11. Less attention and understanding from parents and / or family members.
12. Had trouble with the father or stepmother.
13. Treated unfairly by their parents or by other family members.
14. Fearing the occurrence of conflict or strife in the family.
15. Relationships with parents and family members are less warm, less harmonious and / or less happy
16. Having problems because of being an only child, eldest, youngest child, the only boys or only girls.
17. less harmonious relationship with the brother or sister or other family members.
18. Parents or other family members too powerful or less liberating.
19. Suspected by parents or other family members.
20. Problematic for people living at home parents or other family members.
21. Staying in the family or neighbors less pleasant.
22. Do not agree with parents or family members about something that was planned.
23. Parents unhappy comrades come home.
24. Trouble for homesick and wanted to meet with parents and / or other family members.
25. Do not feel at home and want to leave the house because it was so unpleasant.
name:
Gender :
No. Absent :
class:
Read carefully the statements below and tick problems into complaints and problems that are bothering you at the present time by circling the appropriate number of problems.
I. List Personal Problems
1. Frequent nightmares.
2. Anxious or worried about something uncertain.
3. Easy to forget.
4. Frequent daydreaming or fantasizing.
5. sloppy or careless.
6. Often moody and / or feel unhappy.
7. Experiencing the loss or hardship because too cautious.
8. Less serious about something important.
9. Feeling life is meaningless.
10. Often a failure and / or easily discouraged
11. Easy trepidation or worry in the face and / or express something.
12. Timid, shy, and / or easy to become confused.
13. stubborn or hard to change their own opinion though others said it is incorrect.
14. The fear of trying something new.
15. Easy to anger or unable to control himself.
16. Feeling lonely and / or afraid to be left alone.
17. Often behave, act, or act childish.
18. Inferiority or lack of confidence.
19. Less open to other people.
20. Often exaggerate something that was not necessary.
II. List of Issues Muda Mudi
1. Require information about the issue of sex, dating and / or marriage.
2. Having problems because of embarrassment and less open in talking about sex, girlfriends and / or mate.
3. Worry not get a girlfriend or a good match / fit.
4. Too thinking about sex, romance, courtship or marriage.
5. Having a problem because it is banned or feel inappropriate relationship
6. Less attention of the other sex or girlfriend.
7. Having trouble because they want to have a boyfriend.
8. Awkward in the face of the other sex or girlfriend.
9. It is difficult to control sexual impulses.
10. Having trouble in choosing close friends of the other sex or girlfriend
11. Having problems because of fear or have too much associated with the other gender or girlfriend.
12. Clap hand with a close friend or a girlfriend.
13. Fear of abandonment boyfriend or heartbreak, jealousy or love triangles.
14. Fearing forced to marry.
15. Having a problem because it is often easy to fall in love and / or longing for a girlfriend
III. List of Problem Situation and Relationships in the Family
1. Problematic because both parents live separated or divorced.
2. Having problems because of the father and / or the birth mother had died.
3. Worrying about the health condition of a family member.
4. Having a problem for the state and the equipment shelter and / or old people's home is inadequate.
5. Alarming condition of parents who work too hard
6. The family complained about the financial situation.
7. Alarming situation of parents who live far away.
8. Problematic for the mother or father will marry again.
9. Worry not be able to meet the demands or expectations of parents or other family members.
10. The thought and wondered if being the child of another family.
11. Less attention and understanding from parents and / or family members.
12. Had trouble with the father or stepmother.
13. Treated unfairly by their parents or by other family members.
14. Fearing the occurrence of conflict or strife in the family.
15. Relationships with parents and family members are less warm, less harmonious and / or less happy
16. Having problems because of being an only child, eldest, youngest child, the only boys or only girls.
17. less harmonious relationship with the brother or sister or other family members.
18. Parents or other family members too powerful or less liberating.
19. Suspected by parents or other family members.
20. Problematic for people living at home parents or other family members.
21. Staying in the family or neighbors less pleasant.
22. Do not agree with parents or family members about something that was planned.
23. Parents unhappy comrades come home.
24. Trouble for homesick and wanted to meet with parents and / or other family members.
25. Do not feel at home and want to leave the house because it was so unpleasant.
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