8.

If you CURRENTLY live with a family member, but N O T

your parpn^p, who do you live with (please list by
relationship only, N O T B Y NAMB)

a.

relationship

relationship

relationship

NOW, PLEASE ANSWER THE FOLLOWING QUESTIONS ABOUT THE FAMTT.Y

YOTT LIVED TN AS IT WAS THE MAJORITY OF THE TIME WHEN YOU
WERE BETWEEN THE AGES OF 12 AND 18.

1. Which of the following most represents the family you

lived in aa a teenager (check one)?
a.
b.
c.
d.
e.
f.

Intact (both biological/adoptive parents together)

Single parent home-lived with mother
Single parent home-lived with father
Remarried-lived with father and step-mother
Remarried-lived with mother and step-father
Did not live with family (foster care, group
home, etc.)

NOTE: If you lived vit--h a step-parent in vour home, please

answer the following questions with that person in mind.
For example, if you lived with your father and step-mother
most of the time between the ages of 12 and 18, answer the
T-ATn^4ntncy queflfcionq ^n fhta booklet with those two parents
in mind.
2. Family size in the home you lived in as a teenager
(fill in number):
Full
Half
Step
a. Siblings living with you
b. Siblings not living with you

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