ACOG Adolescent Visit Questionnaire
This is an example of a questionnaire template that can be used to provide adolescents an opportunity to self-report about their health and risks.
![ACOG logo](https://californiaptc.com/wp-content/uploads/2021/02/ACOG-logo.png)
This is an example of a questionnaire template that can be used to provide adolescents an opportunity to self-report about their health and risks.