|
0
|
1
|
2
|
3
|
4
|
|
|
|
|
|
|
|
|
|
1 Wants to be alone more than other
children of the same age
|
|
|
|
|
|
|
|
2 Complains of dizziness or headaches
|
|
|
|
|
|
|
|
3 Doesn't participate in activities that
were previously enjoyable
|
|
|
|
|
|
|
|
4 Argues or is verbally disrespectful
|
|
|
|
|
|
|
|
5 Is more fearful than other children of
the same age
|
|
|
|
|
|
|
|
6. Truants from school or college
|
|
|
|
|
|
|
|
7 Cooperates with rules and expectations
|
|
|
|
|
|
|
|
8 Has difficulty completing assignments or completes them
carelessly
|
|
|
|
|
|
|
|
9 Complains or whines that things are unfair
|
|
|
|
|
|
|
|
10 Experiences trouble with her/his bowels, such as
constipation or diarrhoea
|
|
|
|
|
|
|
|
11 Gets into physical fights with peers or family members
|
|
|
|
|
|
|
|
12 Worries and/or can't get certain ideas out of his/her mind
|
|
|
|
|
|
|
|
13 Steals or lies
|
|
|
|
|
|
|
|
14 Is fidgety, restless, or hyperactive
|
|
|
|
|
|
|
|
15 Seems anxious or nervous
|
|
|
|
|
|
|
|
16 Communicates in a pleasant and appropriate manner
|
|
|
|
|
|
|
|
17 Seems tense, is easily startled
|
|
|
|
|
|
|
|
18 Soils or wets self
|
|
|
|
|
|
|
|
19 Is aggressive toward adults
|
|
0
|
1
|
2
|
3
|
4
|
|
|
|
|
|
|
|
|
|
20 Sees, hears, or believes things that are not real
|
|
|
|
|
|
|
|
21 Has participated in self-harm (eg cutting or scratching
self, attempted suicide)
|
|
|
|
|
|
|
|
22 Uses alcohol or drugs
|
|
|
|
|
|
|
|
23 Seems unable to get organized
|
|
|
|
|
|
|
|
24 Enjoys relationships with family and friends
|
|
|
|
|
|
|
|
25 Appears sad or unhappy
|
|
|
|
|
|
|
|
26 Experiences pain or weakness in muscles or joints
|
|
|
|
|
|
|
|
27 Has a negative or distrustful attitude toward friends,
family members, or adults
|
|
|
|
|
|
|
|
28 Believes that others are trying to hurt him/her even when
they are not
|
|
|
|
|
|
|
|
29 Threatens to or has run away from home
|
|
|
|
|
|
|
|
30 Experiences rapidly changing and strong emotions
|
|
|
|
|
|
|
|
31 Deliberately breaks rules, laws, or expectations
|
|
|
|
|
|
|
|
32 Appears happy with her/himself
|
|
|
|
|
|
|
|
33 Sulks, pouts, or cries more than other children of the
same age
|
|
|
|
|
|
|
|
34 Pulls away from family or friends
|
|
|
|
|
|
|
|
35 Complains of stomach pains or feeling sick more than other
children of same age
|
|
|
|
|
|
|
|
36 Doesn't have or keep friends
|
|
|
|
|
|
|
|
37 Has friends of whom I don't approve
|
|
|
|
|
|
|
|
38 Believes that others can hear his/her thoughts or that
he/she can hear the thoughts of others
|
|
|
|
|
|
|
|
39 Engages in inappropriate sexual behavior (eg sexually
active, exhibits self, sexual abuse toward family members or others)
|
|
0
|
1
|
2
|
3
|
4
|
|
|
|
|
|
|
|
|
|
40 Has difficulty waiting his/her turn in activities or
conversations
|
|
|
|
|
|
|
|
41 Thinks about suicide, says he/she would be better if
he/she were dead
|
|
|
|
|
|
|
|
42 Complains of nightmares, difficulty getting to sleep,
oversleeping, or waking up from sleep too early
|
|
|
|
|
|
|
|
43 Complains about or challenges rules, expectations, or
responsibilities
|
|
|
|
|
|
|
|
44 Has times of unusual happiness or excessive energy
|
|
|
|
|
|
|
|
45 Handles frustration or boredom appropriately
|
|
|
|
|
|
|
|
46 Has fears of going mad
|
|
|
|
|
|
|
|
47 Feels appropriate guilt for wrongdoing
|
|
|
|
|
|
|
|
48 Is unusually demanding
|
|
|
|
|
|
|
|
49 Is irritable
|
|
|
|
|
|
|
|
50 Vomits or is nauseous more than other children of the same
age
|
|
|
|
|
|
|
|
51 Becomes angry enough to be threatening to others
|
|
|
|
|
|
|
|
52 Seems to stir up trouble when bored
|
|
|
|
|
|
|
|
53 Is appropriately hopeful and optimistic
|
|
|
|
|
|
|
|
54 Experiences twitching muscles or jerking movements in
face, arms, or body
|
|
|
|
|
|
|
|
55 Has deliberately destroyed property
|
|
|
|
|
|
|
|
56 Has difficulty concentrating, thinking clearly, or
attending to tasks
|
|
|
|
|
|
|
|
57 Talks negatively, as though bad things are all his/her
fault
|
|
|
|
|
|
|
|
58 Has lost significant amounts of weight without medical
reason
|
|
|
|
|
|
|
|
59 Acts impulsively without thinking of the consequences
|
|
0
|
1
|
2
|
3
|
4
|
|
|
|
|
|
|
|
|
|
60 Is usually calm
|
|
|
|
|
|
|
|
61 Will not forgive him/herself for past mistakes
|
|
|
|
|
|
|
|
62 Lacks energy
|
|
|
|
|
|
|
|
63 Feels that he/she doesn't have any friends or that no one
likes him/her
|
|
|
|
|
|
|
|
64 Gets frustrated and gives up or gets upset easily
|