Adolescence and Puberty Assessment
Please complete this assessment to help us understand your experiences and perceptions during adolescence and puberty. Your responses are confidential.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Non-binary
Prefer not to say
Other
At what age did you first notice signs of puberty? (e.g., growth spurts, voice changes, menstruation, etc.)
*
Please Select
8 or younger
9-10
11-12
13-14
15 or older
Not sure
Which of the following physical changes have you experienced during puberty? (Select all that apply)
*
Growth spurt (height/weight)
Development of body hair
Skin changes (acne, oiliness)
Voice changes
Breast development
Onset of menstruation
Other
How would you rate your understanding of the changes happening to your body during puberty?
*
Not at all
1
2
3
4
Very well
5
1 is Not at all, 5 is Very well
Please indicate how often you have experienced the following feelings in the past month:
*
Rows
Never
Rarely
Sometimes
Often
Always
Feeling happy
1
2
3
4
5
Feeling sad
6
7
8
9
10
Feeling anxious or nervous
11
12
13
14
15
Feeling irritable or moody
16
17
18
19
20
Feeling confident
21
22
23
24
25
How comfortable do you feel discussing puberty-related topics with the following people?
*
Rows
Very uncomfortable
Uncomfortable
Neutral
Comfortable
Very comfortable
Parents or guardians
26
27
28
29
30
Friends
31
32
33
34
35
Teachers or school counselors
36
37
38
39
40
Healthcare providers
41
42
43
44
45
Do you have any concerns or questions about puberty that you would like to share?
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