No.

Item True False

1. Others think my child is
talented
2. It is hard for my child to make
good grades.
3. My child could ride a tricycle
by the age of 5
4. There is a lot of tension in our
home.
5. My child often brings friends
home.
6. My child is often afraid of little
things

7. My child has little self-

confidence.
8. My child’s sleep is calm and
restful.

9 My child thinks about ways to

kill himself/ herself.
10 My child jumps from one
activity to another.
11 My child will do anything on a
dare
12 My child often gets confused

13 My child is likely to scream if

disturbed

1
14 My child is usually afraid to
meet new people.
15 My child does not like to be
close with others.
16 My child has been in trouble
with the police.
17 My child is worried about
disease.
18 My child often breaks the rules.
19 Other children make fun of my
child’s ideas.
20 Other children make fun of my
child’s ideas.