AutPlay Connection Inventory 12-18 -

AutPlay Connection Inventory (12-18)

Child's Name

Child's Age

Child's Gender

My adolescent engages in, seeks, seems comfortable with physical affection (hugs, touch, etc.).

My adolescent says, “I love you” and/or makes other endearing verbal statements.

My adolescent seems comfortable receiving hugs and/or other engaging physical touch.

My adolescent will display sad, hurt, or vulnerable emotions if the situation warrants such a response.

My adolescent displays empathy toward others.

My adolescent makes appropriate acknowledgment of others.

My adolescent is inconsistent in their affection toward family members and others.

My adolescent appears unable to give or receive love.

My adolescent appears to avoid physical closeness and touch.

My adolescent initiates games or “hang out” time with adults or peers.

My adolescent will participate if other peers initiate games or “hang out” time.

My adolescent participates in or seems to want to participate in peer activities.

My adolescent seems to have an appropriate parent/adolescent relationship connection.