Question

Name

qi_2

Label

2

Question Text

Overall, do you think that your child has difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?

Instructions

Tick one box

Usage

3 questions before...
Please can you think back to how your child has been feeling over the past 6 months. For each of the following statements, please say whether it is not true of your child, somewhat true, or certainly true.

Tick one box on each line

-

1 - Not true

2 - Somewhat true

3 - Certainly true

Considerate of other people’s feelings
Restless, overactive and not able to sit still for long
Often complaining of headaches, stomach-aches or sickness
Sharing readily with other children (treats, toys, pencils etc.)
Has often had temper tantrums or hot tempers
Rather solitary, tending to play alone
Generally obedient, usually doing what adults requested
Many worries, often seeming worried
Helpful if someone was hurt, upset or feeling ill
Constantly fidgeting and squirming
Has had at least one good friend
Has often had fights with other children or bullies them
Often unhappy, downhearted or tearful
Generally liked by other children
Easily distracted, concentration wandered
Nervous or clingy in new situations, easily loses confidence
Kind to younger children
Often lied or cheated
Picked on or bullied by other children
Has often volunteered to help others (parents, teachers, other children)
Able to think things out before acting
Stole from home, school or elsewhere
Getting on better with adults than with other children
Many fears, easily scared
Has seen tasks through to the end, good attention span

Overall, do you think that your child has difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?

Tick one box

1
Yes - minor difficulties
2
Yes - definite difficulties
3
Yes - severe difficulties
4
No

How long have these difficulties been present?

Tick one box

1
Less than a month
2
1 - 5 months
3
6 - 12 months
4
Over a year
29 questions after...