The CHIP-AE is a self administered questionnaire for adolescents assessing health status across 5 domains: Satisfaction, Comfort, Risk Avoidance, Resilience, and Achievement. There are 108 items across these domains and 14 sub-domains. Completion of the instrument requires about 20 minutes.
Scoring is preferably done with a computerized system, which provides a score for each of the domains and sub-domains.
Average health in a domain ranges from 44-56. Poor health is anything below 43 and excellent health is any score above 57.
More information on ordering the instrument can be found here.
Additionally, the following articles provide further information on development and psychometric properties.
Riley AW, Green BF, Forrest CB, Starfield B, Kang M, Ensminger ME. A taxonomy of adolescent health: development of the adolescent health profile-types. Medical Care 1998; 36(8): 1228-1236.
Riley AW, Forrest CB, Starfield B, Green B, Kang M, Ensminger M. Reliability and validity of the adolescent health profile-types. Medical Care 1998; 36(8): 1237-1248.