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  2. Individual and Family Health
  3. Preventive Health Care For Children, Teens and Young Adults
  4. Child and Teen Checkups (CTC)
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Child and Teen Checkups (C&TC)

  • C&TC home
  • About C&TC Program
  • Translated documents

C&TC Components

  • Fact sheets on screening component
  • Adolescent and Young Adult C&TC
  • C&TC Developmental-Social Emotional Screening in the Clinic Setting
  • Developmental/Social-emotional Screening
  • Fluoride Varnish in the C&TC Setting
  • Hearing Screening
  • Vision Screening

Training

  • C&TC Training Descriptions
  • C&TC Self-Paced Training

Information

  • For Families
  • For Providers
  • About Focused Populations

Child and Teen Checkups (C&TC)

  • C&TC home
  • About C&TC Program
  • Translated documents

C&TC Components

  • Fact sheets on screening component
  • Adolescent and Young Adult C&TC
  • C&TC Developmental-Social Emotional Screening in the Clinic Setting
  • Developmental/Social-emotional Screening
  • Fluoride Varnish in the C&TC Setting
  • Hearing Screening
  • Vision Screening

Training

  • C&TC Training Descriptions
  • C&TC Self-Paced Training

Information

  • For Families
  • For Providers
  • About Focused Populations
Contact Info
Child and Teen Checkups
651-201-3650
health.childteencheckups@state.mn.us

Contact Info

Child and Teen Checkups
651-201-3650
health.childteencheckups@state.mn.us

Adolescent and Young Adult Health Questionnaire

The Adolescent and Young Adult (AYA) Health Questionnaire is a youth self-report tool that clinics can routinely use for patients ages 11-20 years when they check in for their Child and Teen Checkup (C&TC)/well visit. The questionnaire includes information about general health, safety, sexual health, substance use, and more. It can be used as a clinical tool for health history and risk assessment. The questionnaire helps the provider identify and focus on a young person's current health strengths, risks, needs and goals.

  • Additional languages available on C&TC Translated Documents web page

Before implementing the AYA Health Questionnaire into clinical practice, please review the Guidance for Clinics: Using the AYA Health Questionnaire (PDF) document. It includes recommendations for introducing the tool to patients and family, and provides resources related to minors’ consent, confidentiality rights. There is also a section that provides both rationale and resources related to specific the items on the questionnaire.

*Note this questionnaire is not and cannot be billed as a standardized screening. Separate standardized screening is required. For more information about screening for mental health or depression in young people 6-20 years of age, refer to the C&TC Mental Health Screening (6-20 years) Fact Sheet (PDF).

Tags
  • children youth
Last Updated: 04/10/2025

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