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SDQ Parent/Carer 4-10
Name:
Date:
#
Question
Answer
1
Considerate of other people’s feelings
2
Restless, overactive
3
Often complains of headaches
4
Shares readily with other children
5
Often loses temper
6
Rather solitary, prefers to play alone
7
Generally well behaved
8
Many worries or often seems worried
9
Helpful if someone is hurt
10
Constantly fidgeting
11
Has at least one good friend
12
Often fights with other children
13
Often unhappy, depressed or tearful
14
Generally liked by other children
15
Easily distracted
16
Nervous or clingy in new situations
17
Kind to younger children
18
Often lies or cheats
19
Picked on or bullied
20
Often volunteers to help others
21
Thinks things out before acting
22
Steals from home, school
23
Gets along better with adults
24
Many fears, easily scared
25
Good attention span
#
Over-page Questions
Answer
26
Overall, do you think that your child has difficulties in one or more (..)
No
Minor
Definite
Severe
27
How long have these difficulties been present?
<1m
1-5m
6-12m
>1y
28
Do the difficulties upset or distress your child?
29
Home Life
30
Friendships
31
Classroom Learning
32
Leisure Activities
33
Do the difficulties put a burden on you or the family as a whole?
Score
Severity Range
Emotional
0
Conduct
0
Hyperactivity
0
Peer Problems
0
Pro Social
0
Total Difficulties
0
Impact Score
0
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