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NGC Domain #6: Environmental variables

Revised April 2012

Question: Many assessments could be seen as addressing environmental variables, need more specificity to list questions.

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Secondary Questions:

Question: Before you were 15, was there a time when you did not live with your biological mother/father for at least 6 months?

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Question: At what ages were you living apart from your biological mother/father?

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Question: Have you ever lived in foster care?

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Question: Other assessments? We have information on sexual behavior, sleeping habits, religious beliefs, activities, gambling, etc. on the computerized questionnaire ? the questions are too numerous to list.

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Question: How many people different had the main responsibility for caring for you up to age 18

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Question: How would you describe the quality of your relationship with your main caregiver (excellent, very good, good, fair, poor)?

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Question: How did your mother/father figure punish you?

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Question: Have you ever had any emotional problems or times that stand out as particularly troubling or upsetting during your life?

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Question: Frightening or horrible experiences?

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Question: Did you ever experience or witness a violent crime, like a shooting or a rape, by age 13?, If yes, Did this happen more than once by age 13?

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Question: Were you ever the victim of a violent crime?

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Question: Now I'm going to ask you about the use of drugs or alcohol in the household where you grew up, by the time you were 13 years old. Were you ever aware of adults in your household drinking enough to get drunk, or using drugs or alcohol by the time you were 13?

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Question: Describe your work environment

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Question: Was your birth or early development abnormal in any way?

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Question: Have you taken any perscription medications for 2 weeks or longer?

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Question: Have you ever become hooked or dependent on perscription drugs or take much more of it than was perscribed?

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Question: Did you run away from home overnight?

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Question: Describe your childhood relationships

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Question: Have you ever been anxious, worried, nervous, or "on edge" more days than not for at least 6 months? For example, worrying about possible harm to a loved one who was not in danger, or worrying about finances for no good reason?

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Question: Some people have a fear of being in certain places or situations where they feel it would be difficult to leave easily. They are worried that they could not escape or get help if they suddenly became panicky. Some situations like this include being alone away from home; being in a crowd; being in a place where there was a long distance between exits, like in a tunnel or on a bridge; traveling in a bus, car, or train; or being in an elevator. Have you ever had a period of time when you had a fear like that (that you might become panicky and wouldn't be able to leave easily if that happened)?

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Question: Have you ever gambled for money?

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Question: Were there gangs in your school?

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Question: Questions to determine childhood experiences and relationships

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This page was last updated April 2012

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