a. Are
you under 18 years of age?
b. Do
you currently have a guardian or custodian?
c. Have
you ever experienced any of the following? Psychotic state?
Hallucinations? Delusions? Thoughts that someone was controlling your
thoughts, or your actions, or secretly controlling your environment?
d. Do
you have thoughts of hurting or killing yourself? Or have you, in any
way, ever tried to hurt or kill yourself?
e. Do
you have thoughts of hurting or killing anyone else? Or have you ever
physically hurt anyone?