Thinking of the adult you go to for support or guidance, for the following items,
choose the number (1) for A little bit, the number (2) for Some, and the number (3) for
A lot that best describes your feelings about that adult. Circle the number you choose.


A little bit


17. How much do you feel you can count
 on this person to be there for you?

18. If you needed some information or advice
 about something, how likely is it that
 you could talk with this person?

19. If you got an award or did something well,
 how likely is it that you would tell this person?

20. If you were in trouble at home,
 how likely is it that you would tell this person?

21. How much do you feel he or she believes
 in and cares deeply about you?

22. How much do you feel that he or she
 inspires you to do your best?

23. How much do you think that knowing him
 or her has really affected what you do and
 the choices you make?


Some A lot

 2 3



 2 3


 2 3


 2 3


2 3



2 3


24. How long have you
 known this person?


Less than
3 months

 1


3-6 months


6-12 months


Greater than
12 months


(Centers for Disease Control and Prevention, 2002; Rhodes, Ebert, & Fischer, 1992;
Woolard & Greig, 2001)


Thinking of the adult you go to for support or guidance, for the next question, please
indicate the length of time you have known the person by choosing the number (1) for
Less than 3 months, the number (2) for 3 to 6 months, the number (3) for 6 to 12
months, and the number 4 for more than 12 months. Circle the number you choose.