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