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Follow-up SDQ

Self-Assessment (Under 18)

For each item, please mark the box for Not True, Somewhat True or Certainly True. It would help us if you answered all items as best you can even if you are not absolutely certain or the item seems daft! Please give your answers on the basis of your child's behaviour over the last month.

Sex
Male
Female
Child's Date of Birth
Considerate of other people's feelings
Not True
Somewhat True
Certainly True
Restless, overactive, cannot stay still for long
Not True
Somewhat True
Certainly True
Often complains of headaches, stomach-aches or sickness
Not True
Somewhat True
Certainly True
Shares readily with other children (treats, toys, pencils etc.)
Not True
Somewhat True
Certainly True
Often has temper tantrums or hot tempers
Not True
Somewhat True
Certainly True
Rather solitary, tends to play alone
Not True
Somewhat True
Certainly True
Generally obedient, usually does what adults request
Not True
Somewhat True
Certainly True
Many worries, often seems worried
Not True
Somewhat True
Certainly True
Helpful if someone is hurt, upset or feeling ill
Not True
Somewhat True
Certainly True
Constantly fidgeting or squirming
Not True
Somewhat True
Certainly True
Has at least one good friend
Not True
Somewhat True
Certainly True
Often fights with other children or bullies them
Not True
Somewhat True
Certainly True
Often unhappy, down-hearted or tearful
Not True
Somewhat True
Certainly True
Generally liked by other children
Not True
Somewhat True
Certainly True
Easily distracted, concentration wanders
Not True
Somewhat True
Certainly True
Nervous or clingy in new situations, easily loses confidence
Not True
Somewhat True
Certainly True
Kind to younger children
Not True
Somewhat True
Certainly True
Often lies or cheats
Not True
Somewhat True
Certainly True
Picked on or bullied by other children
Not True
Somewhat True
Certainly True
Often volunteers to help others (parents, teachers, other children)
Not True
Somewhat True
Certainly True
Thinks things out before acting
Not True
Somewhat True
Certainly True
Steals from home, school or elsewhere
Not True
Somewhat True
Certainly True
Gets on better with adults than with other children
Not True
Somewhat True
Certainly True
Many fears, easily scared
Not True
Somewhat True
Certainly True
Sees tasks through to the end, good attention span
Not True
Somewhat True
Certainly True
Since coming to the clinic, are your child's problems:
Much worse
A bit worse
About the same
a bit better
Much better
Has coming to the clinic been helpful in other ways, e.g. providing information or making the problems more bearable?
Not at all
Only a little
Quite a lot
A great deal
Over the last month, has your child had difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?
No
Yes - minor difficulties
Yes - definite difficulties
Yes - severe difficulties
Do the difficulties upset or distress your child?
Not at all
Only a little
Quite a lot
A great deal
Do the difficulties interfere with your child's home life?
Not at all
Only a little
Quite a lot
A great deal
Do the difficulties interfere with your child's everyday life in the friendship area?
Not at all
Only a little
Quite a lot
A great deal
Do the difficulties interfere with your child's everyday life in the classroom learning area?
Not at all
Only a little
Quite a lot
A great deal
Do the difficulties interfere with your child's everyday life in the leisure activities area?
Not at all
Only a little
Quite a lot
A great deal
Do the difficulties put a burden on you or the family as a whole?
Not at all
Only a little
Quite a lot
A great deal
What is your relationship to the child?
Mother
Father
Other
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