This tool, a self-reporting measure for individuals aged 13–18, was developed as an answer the elusive concept of wellbeing. It was piloted during a comprehensive evaluation of orphans and vulnerable children (OVC) programs funded by the President’s Emergency Plan for AIDS Relief (PEPFAR) in Haiti, Kenya, Rwanda, Tanzania, and Zambia and refined after analysis of the results of that pilot. The tool is 36 questions long and takes approximately 20 minutes to administer. Scoring can be done immediately or via a computer program. Results can be used to monitor OVC programs over time.