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G CBCL PROFILE FOR GIRLS — COMPETENCE SCALES Clinical Yhile_Age: 611 4248 eat 1248 on 1248 T Name 20s vase e580 Bewo aaa ss os 20 ee a4] 130 a8 us Joo Ase. no Date cect, os ws 8 no filed out 6 es 60 sso ss € = ‘ ea CBCL filed & v0 us a 8 ss outby 5 sof as so 4 @ ns as a ho ye 80 oo Total Competence Score Est ws we 8 1 “ “8 les petivitios Zen 2 wo 38 2 7 “o ss os as Social Be = o at School 9 os “0 a w Total PERS: SSR 200 as 2 as Tour aes 2 “ ao J tromtabte__ T5180 a “ea Es bE 8 49 a 2 20 , ss 2330 33 3 45 tes % ie ia a os °° Broken lines aii Fa 88 % 8 a co borderline clinical range ae “ACTIVITIES “SOCIAL ‘SCHOOL Eos 1. A ttofsports Ill, A. of organizations VILA. Mean performance B, Mean of participation =" B Mean of participation in = 2 Special cass and skin sports organizations = 3: Repeated grade 1 A. #of other activites _V. 1 itot triends = __ 4. Schoo! problems 8. Mean of participation "2 Frequency of contacts retail and skin actities with friends IVA itofjobs VLA. Behavior wth others 1B. Mean job quality =" 8. Behavior alone —Tosat Total ‘Copyright 2001 T Achenbach ASEBA, University of Vermont 4 South Prospect St. Buringon, VT 05401-0458 Web: wn ASEBAO%G 61-01 Esiion-203

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