QuestionnaireAdmin2022-04-16T11:47:28+00:00 Parents: Strengths and Difficulties Questionnaire Month- select a option -JanuaryFeburaryMarchAprilMayJuneJulyAugustSeptemberNovemberOctoberDecemberField is required!Date:- select a option -12345678910111213141516171819202122232425262728293031Field is required!Year- select a option -19911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022Field is required!Child's NameField is required!Last NameField is required!Month- select a option -JanuaryFeburaryMarchAprilMayJuneJulyAugustSeptemberNovemberOctoberDecemberField is required!Date:- select a option -12345678910111213141516171819202122232425262728293031Field is required!Year- select a option -19911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022Field is required!Child's GenderMaleFemaleOtherField is required!Guardian/Parent Name:Field is required!Last Name;Field is required!Guardian E-mail Address:Field is required!Strengths and Difficulties QuestionnaireFor each item, please mark the box for Not True, Somewhat True, or Certainly True. It would help us if you answered all the items as best as your can even if you are not absolutely certain. Please give your answers on the basis of your child's behavior over the last six monthsConsiderate of other people's feelingsNot trueSomewhat TrueCertainly TrueField is required!Restless, overactive, cannot stay still for longNot trueSomewhat TrueCertainly TrueField is required!Often complains of headaches, stomach-aches, or sicknessNot trueSomewhat TrueCertainly TrueField is required!Shares readily with other youth, for example CDs, games, foodNot trueSomewhat TrueCertainly TrueField is required!Often loses temperNot trueSomewhat TrueCertainly TrueField is required!Would rather be alone than with other youthNot trueSomewhat TrueCertainly TrueField is required!Generally well behaved, usually does what adults requestNot trueSomewhat TrueCertainly TrueField is required!Many worries or often seems worriedNot trueSomewhat TrueCertainly TrueField is required!Helpful if someone is hurt, upset, or feeling illNot trueSomewhat TrueCertainly TrueField is required!Constantly fidgeting or squirmingNot trueSomewhat TrueCertainly TrueField is required!Has at least one good friendNot trueSomewhat TrueCertainly TrueField is required!Often fights with other youth or bullies themNot trueSomewhat TrueCertainly TrueField is required!Often unhappy, depressed, or tearfulNot trueSomewhat TrueCertainly TrueField is required!Generally liked by other youthNot trueSomewhat TrueCertainly TrueField is required!Easily distracted, concentration wandersNot trueSomewhat TrueCertainly TrueField is required!Nervous in new situations, easily loses confidenceNot trueSomewhat TrueCertainly TrueField is required!Kind to younger childrenNot trueSomewhat TrueCertainly TrueField is required!Often lies or cheatsNot trueSomewhat TrueCertainly TrueField is required!Picked on or bullied by other youthNot trueSomewhat TrueCertainly TrueField is required!Often offers to help others (parents, teachers, other children)Not trueSomewhat TrueCertainly TrueField is required!Thinks things out before actingNot trueSomewhat TrueCertainly TrueField is required!Steals from home, school, or elsewhereNot trueSomewhat TrueCertainly TrueField is required!Gets along better with adults than with other youthNot trueSomewhat TrueCertainly TrueField is required!Many fears, easily scaredNot trueSomewhat TrueCertainly TrueField is required!Good attention span, see chores or homework through to the endNot trueSomewhat TrueCertainly TrueField is required!Do you have any other comments or concerns?Field is required!Submit
