LHSC

LHSC – Module ONE Step #3

Transition Readiness Assessment Questionnaire (TRAQ)Directions to Caregivers/Parents:If your youth or young adult is unable to complete the tasks below on their own,
please check the box that best describes your skill level.
Check here if you are a parent/caregiver completing this form.Directions to Youth and Young Adults:Please check the box that best describes your skill level
in the following areas that are important
for transition to adult health care.
There is no right or wrong answer
and your answers will remain confidential and private.previousManaging Medications

    No, I
    do not
    know
    how

    No,
    but
    I want
    to learn

    No,
    but
    I am
    learning
    to do
    this

    Yes, I
    have
    started
    doing
    this

    Yes, I
    always
    do this
    when I
    need to

    Do you fill a prescription if you need to?

    Do you know what to do if you are having a bad reaction to your medications?

    Do you take medications correctly and on your own?

    Do you reorder medications before they run out?

    3/27
    Transition Readiness Assessment
    Questionnaire (TRAQ)    Directions to Caregivers/Parents:If your youth or young adult is unable
    to complete the tasks below on their own,
    please check the box that best describes your skill level.
    Check here if you are a parent/caregiver completing this form.    Managing Medications

      No, I
      do not
      know
      how

      No,
      but
      I want
      to learn

      No,
      but
      I am
      learning
      to do
      this

      Yes, I
      have
      started
      doing
      this

      Yes, I
      always
      do this
      when I
      need to

      Do you fill a prescription if you need to?

      Do you know what to do if you are having a bad reaction to your medications?

      Do you take medications correctly and on your own?

      Do you reorder medications before they run out?

      Directions to Youth and Young Adults:Please check the box that best describes your skill level
      in the following areas that are important
      for transition to adult health care.
      There is no right or wrong answer
      and your answers will remain confidential and private.      previous3/27