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Self 11-17
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Parent/Carer 11-17
(Followup)
Self 11-17
(Followup)
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SDQ Self 11-17
- Followup
Name:
Date:
#
Question
Answer
1
I try to be nice to other people
2
I am restless
3
I get a lot of headaches
4
I usually share with others
5
I get very angry
6
I am usually on my own
7
I usually do as I am told
8
I worry a lot
9
Helpful if someone is hurt
10
I am constantly fidgeting
11
I have one good friend or more
12
I fight a lot
13
I am often unhappy
14
Other people my age generally like me
15
I am easily distracted
16
I am nervous in new situations
17
I am kind to younger children
18
I am often accused of lying or cheating
19
Other people pick on me
20
I often volunteer to help others
21
I think before I do things
22
I take things that are not mine
23
I get on better with adults than with people my age
24
I have many fears
25
I finish the work I am doing
#
Over-page Questions
Answer
26
Since coming to the service, are your problems:
27
Has coming to the service been helpful in other ways? (..)
28
Over the last month, have you had difficulties in one or more (..)
29
Do the difficulties upset or distress you?
30
Home Life
31
Friendships
32
Classroom Learning
33
Leisure Activities
34
Do the difficulties make it harder for those around you?
Score
Severity Range
Emotional
0
Conduct
0
Hyperactivity
0
Peer Problems
0
Pro Social
0
Total Difficulties
0
Impact Score
0
Calculate
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