Instructions:

Here are some things parents might say about their children. Please tell us about your child and what he/she has been like in the past month. Read each item carefully, then mark how well it describes your child or how frequently it has happened in the past month.

0 = In the past month, this was not true at all about my child. It never (or seldom) happened.

1 = In the past month, this was just a little true about my child. It happened occasionally.

2 = In the past month, this was pretty much true about my child. It happened often (or quite a bit).

3 = In the past month, this was very much true about my child. It happened very often (very frequently).

Please circle only one answer for each item. It is important to respond to every item.

For items that you find difficult to answer, please give your best guess.


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