Development and Well-Being Assessment - Parents (DAWBA)
- pham.le.21
- Claudia Alioto
Owned by pham.le.21
There are several versions of this scale which have been developed for different audiences. You can find the "Teacher" version here.
Reference
Goodman, R., Ford, T., Richards, H., Gatward, R., & Meltzer, H. (2000). The Development and Well-Being Assessment: Description and Initial Validation of an Integrated Assessment of Child and Adolescent Psychopathology. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(5), 645–655. https://doi.org/10.1111/J.1469-7610.2000.TB02345.X
List of questions
| Section | Question number (as in version 1) | Question | Original 581-item version | ALSPAC 274-item version* |
|---|---|---|---|---|
| Social Aptitude Scale | SAS1 | How does [Name] compare with other children/people of his/her age in the following situations: Able to laugh around with others, for example accepting light-hearted teasing and responding appropriately. | ✓ | |
| SAS2 | How does [Name] compare with other children/people of his/her age in the following situations: Easy to chat with, even if it isn’t on a topic that specially interests him/her. | ✓ | ||
| SAS3 | How does [Name] compare with other children/people of his/her age in the following situations: Able to compromise and be flexible. | ✓ | ||
| SAS4 | How does [Name] compare with other children/people of his/her age in the following situations: Finds the right thing to say or do in order to defuse a tense or embarrassing situation | ✓ | ||
| SAS5 | How does [Name] compare with other children/people of his/her age in the following situations: Graceful when s/he doesn’t win or get his/her own way. A good loser. | ✓ | ||
| SAS6 | How does [Name] compare with other children/people of his/her age in the following situations: Other people feel at ease around him/her. | ✓ | ||
| SAS7 | By reading between the lines of what people say, s/he can work out what they are really thinking and feeling. | ✓ | ||
| SAS8 | How does [Name] compare with other children/people of his/her age in the following situations: After doing something wrong, s/he’s able to say sorry and sort it out so that there are no hard feelings. | ✓ | ||
| SAS9 | How does [Name] compare with other children/people of his/her age in the following situations: Can take the lead without others feeling they are being bossed about. | ✓ | ||
| SAS10 | How does [Name] compare with other children/people of his/her age in the following situations: Aware of what is and isn’t appropriate in different social situations. | ✓ | ||
| Friendships Questionnaire | Fr1 | What is [Name] like at making friends? | ✓ | |
| Fr2 | What is [Name] like at keeping the friends s/he has made? | ✓ | ||
| Fr3 | At present, how many friends does s/he have that s/he fairly often spends time with, for example chatting, or doing things together, or going out as part of a group? | ✓ | ||
| Fr4 | Do [Name] and his/her friends have interests in common? | ✓ | ||
| Fr5 | Do [Name] and his/her friends take part in joint activities such as playing sport together, playing computer games together, or shopping together? | ✓ | ||
| Fr6 | If [Name] were very stressed or had some secret worry, do you think s/he’d be able to talk about this with a friend and tell the friend how s/he was feeling? | ✓ | ||
| Fr7 | By and large, do you approve of his/her friends? | ✓ | ||
| Fr8 | Are many of his/her friends the sorts of children/young people who often get into trouble for bad behaviour? | ✓ | ||
| Development Section | R1 | Thinking about his/her school work and about his/her ability to reason things out, is s/he about average for his/her age, ahead, or behind? | ✓ | |
| R2 | At present, roughly what sort of age level is s/he at in his/her school work and ability to reason things out? | ✓ | ||
| R3 | Is his/her ability to use language – to say what s/he means and to understand what other people are saying – about average for his/her age, ahead or behind? | ✓ | ||
| R4 | At present, roughly what sort of age level is s/he at in his/her use and understanding of language? | ✓ | ||
| R5 | Can s/he get round difficulties in explaining what s/he wants to say by other means, for example by using gestures, signs, facial expressions or acting things out? | ✓ | ||
| R6a | Going back to his/her first 3 years of life, was there anything that seriously worried you or anyone else about: the way his/her speech developed? | ✓ | ||
| R6b | Going back to his/her first 3 years of life, was there anything that seriously worried you or anyone else about: how s/he got on with people? | ✓ | ||
| R6c | Going back to his/her first 3 years of life, was there anything that seriously worried you or anyone else about: the way his/her pretend or make-believe play developed? | ✓ | ||
| R6d | Going back to his/her first 3 years of life, was there anything that seriously worried you or anyone else about: any odd rituals or unusual habits that were very hard to interrupt? | ✓ | ||
| R6e | Going back to his/her first 3 years of life, was there anything that seriously worried you or anyone else about: his/her ability to learn and do new things – things such as puzzles or helping get dressed? | ✓ | ||
| R7 | Have the things that seriously worried you or someone else now cleared up completely? | ✓ | ||
| R8 | Could s/he use any real words other than ‘mama’ or ‘dada’ before the age of 2 years? | ✓ | ||
| R9 | After using single words, children go on to join them up into phrases or short sentences like ‘Go park see ducks’ or ‘Mama give biscuits’. Did [Name] join words together into phrases or short sentences before the age of 3 years? | ✓ | ||
| R10 | Toddlers often communicate through physical gestures such as waving goodbye, pointing to things, blowing a kiss, or bringing a finger to their mouth and saying Shh! When s/he was a toddler, did [Name] use these sorts of gestures as much as other children of the same age? | ✓ | ||
| R11 | Some children like playing nursery games like Ring a Ring a Roses, Round and Round the Garden, Peekaboo or Peepo. Did [Name] ever like these games? | ✓ | ||
| R12 | Young children often try to share their enjoyment or interests or achievements, for example by pointing out something that they think you will enjoy seeing or find interesting. As a toddler and young child, did [Name] want to share his/her enjoyment, interests or achievements with other people? | ✓ | ||
| R13 | Some children spend a lot of their play time repeating the same action over and over again, for example spinning the wheels on a toy car, turning taps or light switches on and off, or opening and shutting doors. Has this ever been true of him/her? | ✓ | ||
| R14 | Children are sometimes very interested in unusual aspects of toys or other things. For example, rather than playing with a toy, they may spend their time sniffing it, or running their fingers over its surface, or holding it to their face to feel any vibration that it makes. Has this ever been true of him/her? | ✓ | ||
| R15 | Make-believe play is important to some children. This can include pretend games with other children – games such as cops and robbers, or mummies and daddies. Even when they are by themselves, children may act out stories with dolls, action men or make-believe objects. If aged under 11: As a preschool child and more recently, has [Name] taken part in make-believe play? If aged 11 or more: Thinking about when s/he was younger (say between 5 and 10), did [Name] take part in make-believe play? | ✓ | ||
| R16 | If aged under 11: At present, can [Name] make allowances according to who s/he is playing with? For example, not being too rough when playing with younger children, and not being too bossy when playing with older children. If aged 11 or more: When s/he was younger (say around 10), could [Name] make allowances according to who s/he was playing with? For example, not being too rough when playing with younger children, and not being too bossy when playing things with older children. | ✓ | ||
| R17 | When s/he’s with other children/teenagers, does s/he have difficulty taking turns, sharing or co-operating? | ✓ | ||
| R18 | Some children/teenagers enjoy putting a lot of time into collecting things, or get a lot of pleasure out of focusing on just one topic, such as sport, cars or a particular pop group. In everyday language, we often say that these children/teenagers are ‘obsessed’ by their interest, but this is not an unpleasant obsession – this is something they like and usually enjoy talking about. Has [Name] had any long-lasting obsessions of this sort? | ✓ | ||
| R19 | Obsessions may be about common or unusual topics. For example, it is fairly common for an 8 year old to be obsessed by dinosaurs, but it is unusual for an 8 year old to be obsessed by Victorian fireplaces, bar codes or street lamps. Is or was the topic of his/her obsession unusual? | ✓ | ||
| R20 | Does or did the obsession dominate his/her life? | ✓ | ||
| R21 | Does or did it tend to dominate his/her conversation with other people? | ✓ | ||
| R22 | Does or did it stop him/her doing other important things in his/her life, such as playing, studying or going out? | ✓ | ||
| R23 | Please describe the obsession: | ✓ | ||
| R24 | Is [Name] able to start conversations with other people? | ✓ | ||
| R25 | If other people start conversations with him/her, can [Name] keep the conversation going? | ✓ | ||
| R26 | Is [Name] genuinely interested in chatting with other people in order to hear what they have to say about their experiences and interests – even if those interests are different from his/her own interests? | ✓ | ||
| R27 | Some children/teenagers have trouble adjusting their language to suit different social occasions. For example they may speak too casually to a teacher or too formally to other children. Does [Name] change the way s/he speaks according to whether it is a formal or informal situation? | ✓ | ||
| R28 | It is relatively easy to tell what some children/teenagers are feeling by observing their facial expressions, their tone of voice and their body language. It is harder to tell with other children/teenagers, particularly if you don’t know them very well. Do most people have difficulty knowing what [Name] is feeling by observing his/her face, body language or tone of voice? | ✓ | ||
| R29 | The other way round, children/teenagers vary in their ability to know what other people are feeling. Some children/ teenagers are good at recognising subtle clues in body language, facial expressions, or tone of voice. For example, they can immediately tell when their mother is starting to get a little cross, or when another child/teenager is feeling a bit embarrassed. Other children/teenagers find this much harder. Does [Name] have difficulty recognising the clues in other people’s facial expressions, body language and tone of voice? | ✓ | ||
| R30 | When we’re talking with someone face-to-face, eye contact is very important. It generally makes us feel uneasy, or as if there’s something wrong, if the other person makes too little eye contact, or too much, or makes it at the wrong time. Has [Name] ever been through a phase of making too little or too much eye contact, or making it in the wrong sort of way? | ✓ | ||
| R31 | Many young children go through a phase of repeating what someone has just said to them. For example, if you said, “We’ll be going home in a few minutes”, they might parrot back “We’ll be going home in a few minutes”. Or they might echo back the last word, “minutes”, in your tone of voice. Some young people do this a lot. Has [Name] ever echoed or parroted speech in this way? | ✓ | ||
| R32 | Some children/teenagers ask the same questions over and over again. For example, “When are we going to the park?” or “What’s for dinner?” or “Are we going swimming this weekend?” They keep repeating these questions even though they’ve already been told the answers many times. The questions that are repeated may not be exactly the same from week to week. Has [Name] ever tended to ask repetitive questions? | ✓ | ||
| R33 | Another way in which young people repeat themselves is by using the same catch-phrase or cliché over and over again. For example, almost every sentence may begin “If you want my opinion …” or “Logically speaking …” Occasionally the phrase is appropriate, but it is used far more than is really needed. Has [Name] ever filled his/her speech with these fairly empty catch-phrases or clichés? | ✓ | ||
| R34 | Some children enjoy routines and want things to be the same every day. For example, they may want to eat the same food off the same plate while sitting in the same chair every single day. Or there may be very fixed routines for dressing or undressing. Has [Name] ever had strong or unusual routines that s/he has insisted on because s/he enjoyed doing it that way? | ✓ | ||
| R35 | Please describe the routines | ✓ | ||
| R36 | Some children are easily upset by small changes in their routines. For example, they may be very upset by having to go to school a different way, by having to take a bath at a slightly different time, or by the furniture being moved around. Has [Name] ever been easily upset by changes in routine? | ✓ | ||
| R37 | Some preschool children go through a phase of flapping or waving their hands or arms up and down if they are excited or upset. Some continue doing this for years. Since [Name] has been going to school, has s/he tended to flap his/her arms when excited or upset? | ✓ | ||
| R38 | You have answered a lot of questions about his/her pattern of development – focusing particularly on language, play, routines and his/her ability to get along with other people. Are you concerned at present about any of these aspects of his/her development? | ✓ | ||
| R39 | Thinking about the last 12 months, have difficulties in any of the areas that we have covered resulted in him/her becoming upset or distressed? | ✓ | ||
| R40a | Have difficulties with language, routines, play, or social ability interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ||
| R40b | Have difficulties with language, routines, play, or social ability interfered with… making and keeping friends? | ✓ | ||
| R40c | Have difficulties with language, routines, play, or social ability interfered with… learning or class work? | ✓ | ||
| R40d | Have difficulties with language, routines, play, or social ability interfered with… playing, hobbies, sports or other leisure activities? | ✓ | ||
| R41 | Have these difficulties put a burden on you or the family as a whole? | ✓ | ||
| R42 | Some children’s development is unusual from birth onwards. With hindsight, their parents realise that development was never quite normal. That’s not always the case, though. Sometimes parents are sure that development was completely normal for a while and then there was a relatively sudden change. Which was true for him/her? | ✓ | ||
| R43 | How old was [Name] when this change happened? | ✓ | ||
| Section A: Separation Anxiety | A1a | Is [Name] specially attached to the following adults?Mother (biological or adoptive) | ✓ | ✓ |
| A1b | Is [Name] specially attached to the following adults?Father (biological or adoptive) | ✓ | ✓ | |
| A1c | Is [Name] specially attached to the following adults?Another mother figure (stepmother, foster mother, father’s partner) | ✓ | ✓ | |
| A1d | Is [Name] specially attached to the following adults? Another father figure (stepfather, foster father, mother’s partner) | ✓ | ✓ | |
| A1e | Is [Name] specially attached to the following adults? One or more grandparents | ✓ | ✓ | |
| A1f | Is [Name] specially attached to the following adults? One or more other adult relatives (e.g. aunt, uncle, grown-up brother or sister) | ✓ | ||
| A1g | Is [Name] specially attached to the following adults? Childminder, nanny, au pair | ✓ | ||
| A1h | Is [Name] specially attached to the following adults?One or more teachers | ✓ | ✓ | |
| A1i | Is [Name] specially attached to the following adults?One or more other adult non-relatives (e.g. a family friend or neighbour) | ✓ | ✓ | |
| A1j | Is [Name] specially attached to the following adults? [ ] Not specially attached to any adult | ✓ | ||
| A1k | Is [Name] specially attached to the following children or young people? One or more brothers, sisters or other young relatives | ✓ | ✓ | |
| A1l | Is [Name] specially attached to the following children or young people? One or more friends | ✓ | ✓ | |
| A1m | Is [Name] specially attached to the following children or young people? [ ] Not specially attached to anyone | ✓ | ||
| A2 | Overall, in the last 4 weeks, has s/he been particularly worried about being separated from his/her attachment figures? | ✓ | ✓ | |
| A3a | Over the last 4 weeks, and compared with other children of the same age... has s/he worried either about something unpleasant happening to his/her attachment figures, or about losing them? | ✓ | ✓ | |
| A3b | Over the last 4 weeks, and compared with other children of the same age... has s/he worried unrealistically that s/he might be taken away from his/her attachment figures, e.g. by being kidnapped, taken to hospital or killed? | ✓ | ✓ | |
| A3c | Over the last 4 weeks, and compared with other children of the same age... has s/he not wanted to go to school in case something nasty happened to his/her attachment figures while s/he was away at school? (Do not include reluctance to go to school for other reasons e.g. fear of bullying or exams) | ✓ | ✓ | |
| A3d | Over the last 4 weeks, and compared with other children of the same age... has s/he worried about sleeping alone? | ✓ | ✓ | |
| A3e | Over the last 4 weeks, and compared with other children of the same age... has s/he come out of his/her bedroom at night to check on, or to sleep near, his/her attachment figures? | ✓ | ✓ | |
| A3f | Over the last 4 weeks, and compared with other children of the same age... has s/he worried about sleeping in a strange place? | ✓ | ✓ | |
| A3g | Over the last 4 weeks, and compared with other children of the same age... (Only ask if aged under 11) has s/he been afraid of being alone in a room at home without his/her attachment figures even if they are close by? | ✓ | ✓ | |
| A3h | Over the last 4 weeks, and compared with other children of the same age... (Only ask if aged 11 or more) has s/he been afraid of being alone at home if his/her attachment figures pop out for a moment? | ✓ | ||
| A3i | Over the last 4 weeks, and compared with other children of the same age... has s/he had repeated nightmares or bad dreams about being separated from his/her attachment figures? | ✓ | ✓ | |
| A3j | Over the last 4 weeks, and compared with other children of the same age... has s/he had headaches, stomach aches or felt sick when s/he had to leave his/her attachment figures or when s/he knew it was about to happen? | ✓ | ✓ | |
| A3k | Over the last 4 weeks, and compared with other children of the same age... has being apart from his/her attachment figures, or the thought of being apart from them led to worry, crying, tantrums, clinginess or misery? | ✓ | ✓ | |
| A4 | Have his/her worries about separation been there for at least 4 weeks? | ✓ | ||
| A5 | How old was s/he when his/her worries about separation began? | ✓ | ||
| A6 | How much have these worries upset or distressed him/her? | ✓ | ✓ | |
| A7a | Have these worries interfered with … how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| A7b | Have these worries interfered with …making and keeping friends? | ✓ | ✓ | |
| A7c | Have these worries interfered with …learning or class work? | ✓ | ✓ | |
| A7d | Have these worries interfered with …playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| A8 | Have these worries put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section B: Fears of specific things or situations | B1a | Is [Name] scared of any of the things or situations on this list? Animals: Dogs, spiders, bees and wasps, mice and rats, snakes, or any other animal, bird or insect | ✓ | ✓ |
| B1b | Is [Name] scared of any of the things or situations on this list? Some aspect of the natural environment, e.g. storms, thunder, heights, water | ✓ | ✓ | |
| B1c | Is [Name] scared of any of the things or situations on this list? The dark | ✓ | ✓ | |
| B1d | Is [Name] scared of any of the things or situations on this list? Loud noises, e.g. fire alarms, fireworks | ✓ | ||
| B1e | Is [Name] scared of any of the things or situations on this list? Blood - injection - injury: Set off by the sight of blood or injury, or by an injection, or by other medical procedures | ✓ | ✓ | |
| B1f | Is [Name] scared of any of the things or situations on this list? Dentists or doctors | ✓ | ✓ | |
| B1g | Is [Name] scared of any of the things or situations on this list? Vomiting, choking or getting particular diseases, e.g. cancer or AIDS | ✓ | ||
| B1h | Is [Name] scared of any of the things or situations on this list? Using particular types of transport, e.g. cars, buses, boats, planes, ordinary trains, underground trains, bridges | ✓ | ✓ | |
| B1i | Is [Name] scared of any of the things or situations on this list? Small enclosed spaces, e.g. lifts, tunnels | ✓ | ✓ | |
| B1j | Is [Name] scared of any of the things or situations on this list? Using the toilet, e.g. at school or in someone else’s house | ✓ | ||
| B1k | Is [Name] scared of any of the things or situations on this list? Specific types of people, e.g. clowns, people with beards, with crash-helmets, in fancy dress, dressed as Santa Claus | ✓ | ||
| B1l | Is [Name] scared of any of the things or situations on this list? Imaginary or supernatural beings, e.g. monsters, ghosts, aliens, witches | ✓ | ||
| B1m | Is [Name] scared of any of the things or situations on this list? Any other specific fear (Describe) | ✓ | ||
| B2 | Are these fears a real nuisance to him/her, to you, or to anyone else? | ✓ | ✓ | |
| B3 | How long has this fear or the most severe of these fears been present? | ✓ | ✓ | |
| B4 | When [Name] comes up against the things s/he is afraid of, or when s/he thinks s/he is about to come up against them, does s/he become anxious or upset? | ✓ | ✓ | |
| B5 | Does s/he become anxious or upset every time, or almost every time, s/he comes up against the things s/he is afraid of? | ✓ | ✓ | |
| B6 | How often do his/her fears result in him/her becoming upset like this? N.B. if [Name] is afraid of something that is only there for part of the year (e.g. wasps), this question is about that particular season. | ✓ | ✓ | |
| B7 | Do his/her fears lead to him avoiding the things s/he is afraid of? | ✓ | ✓ | |
| B8 | Does this avoidance interfere with his/her daily life? | ✓ | ✓ | |
| B9 | Do you think that his/her fears are over the top or unreasonable? | ✓ | ||
| B10 | And what about him/her? Does s/he think that his/her fears are over the top or unreasonable? | ✓ | ✓ | |
| B11 | Have his/her fears put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section C: Fear of social situations | C1 | Overall, does [Name] particularly fear or avoid social situations that involve a lot of people, meeting new people or doing things in front of other people? | ✓ | ✓ |
| C2a | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Meeting new people? | ✓ | ✓ | |
| C2b | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Meeting a lot of people, such as at a party? | ✓ | ✓ | |
| C2c | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Eating in front of others? | ✓ | ✓ | |
| C2d | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Speaking in class? | ✓ | ✓ | |
| C2e | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Reading out loud in front of others? | ✓ | ✓ | |
| C2f | Has [Name] been particularly afraid of any of the following social situations over the last 4 weeks? Writing in front of others? | ✓ | ✓ | |
| C3 | Most children are attached to a few key adults, feeling more secure when they are around. Some children are only afraid of social situations if they don't have one of these key adults around. Other children are afraid of social situations even when they are with one of these key adults. Which is true for him/her? | ✓ | ✓ | |
| C4 | Is [Name] just afraid with adults, or is he also afraid in situations that involve a lot of children, or meeting new children? | ✓ | ✓ | |
| C5 | Outside of these social situations, is [Name] able to get on well enough with the adults and children s/he knows best? | ✓ | ✓ | |
| C6 | Do you think his/her dislike of social situations is because s/he is afraid s/he will act in a way that will be embarrassing or show him/her up? | ✓ | ✓ | |
| C7 | Is his/her dislike of social situations related to specific problems with speech, reading or writing? | ✓ | ✓ | |
| C8 | How long has his/her fear of social situations been present? | ✓ | ✓ | |
| C9 | How old was he when this fear of social situations began? | ✓ | ✓ | |
| C10 | When [Name] is in one of the social situations he fears, or when s/he thinks s/he is about to come up against one of these situations, does s/he become anxious or upset? | ✓ | ✓ | |
| C11 | How often does his/her fear of social situations result in him/her becoming upset like this? | ✓ | ✓ | |
| C12 | Does his/her fear lead to him avoiding social situations? | ✓ | ✓ | |
| C13 | Does this avoidance interfere with his/her daily life? | ✓ | ✓ | |
| C14 | Does s/he think that this fear of social situations is over the top or unreasonable? | ✓ | ✓ | |
| C15 | Is s/he upset about having this fear? | ✓ | ✓ | |
| C16 | Has his fear of social situations put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section D: Panic Attacks and Agoraphobia | D1 | In the last 4 weeks, has [Name] had a panic attack when s/he suddenly became very panicky for no reason at all, without even a little thing to set him/her off? | ✓ | |
| D2a | Over the last 4 weeks, has [Name] been very afraid of, or tried to avoid, the following situations? Crowds | ✓ | ||
| D2b | Over the last 4 weeks, has [Name] been very afraid of, or tried to avoid, the following situations? Public Places | ✓ | ||
| D2c | Over the last 4 weeks, has [Name] been very afraid of, or tried to avoid, the following situations? Travelling alone (If s/he ever does so) | ✓ | ||
| D2d | Over the last 4 weeks, has [Name] been very afraid of, or tried to avoid, the following situations? Being far from home | ✓ | ||
| D3 | Do you think this fear or avoidance of (Situation) is because s/he is afraid that if s/he had a panic attack, or something like that, s/he would find it difficult or embarrassing to get away, or wouldn’t be able to get the help s/he needs? | ✓ | ||
| Section: E Post Traumatic Stress | E1 | During his/her lifetime has anything like this happened to him/her? | ✓ | ✓ |
| E2a | Has [Name] ever experienced any of the following? A serious and frightening accident, e.g. being run over by a car, being in a bad car or train crash, etc. | ✓ | ||
| E2b | Has [Name] ever experienced any of the following? A bad fire, e.g. trapped in a burning building | ✓ | ||
| E2c | Has [Name] ever experienced any of the following? Other disasters, e.g. kidnapping, earthquake, war | ✓ | ||
| E2d | Has [Name] ever experienced any of the following? A severe attack or threat, e.g. by a mugger or a gang | ✓ | ||
| E2e | Has [Name] ever experienced any of the following? Severe physical abuse that s/he still remembers | ✓ | ||
| E2f | Has [Name] ever experienced any of the following? Sexual abuse | ✓ | ||
| E2g | Has [Name] ever experienced any of the following? Rape | ✓ | ||
| E2h | Has [Name] ever experienced any of the following? Witnessed severe domestic violence, e.g. saw mother being badly beaten up at home | ✓ | ||
| E2i | Has [Name] ever experienced any of the following? Saw a family member or a friend severely attacked or threatened, e.g. by a mugger or a gang | ✓ | ||
| E2j | Has [Name] ever experienced any of the following?Witnessed a sudden death, a suicide, an overdose, a serious accident, a heart attack etc. | ✓ | ||
| E2k | Has [Name] ever experienced any of the following? Some other severe trauma | ✓ | ||
| E3 | At the time, was [Name] very distressed or did his/her behaviour change dramatically? | ✓ | ✓ | |
| E3a | At present, is it affecting his/her behaviour, feelings or concentration? | ✓ | ✓ | |
| E4a | Over the last 4 weeks, has [Name]… “relived” the event with vivid memories (flashbacks) of it | ✓ | ✓ | |
| E4b | Over the last 4 weeks, has [Name]… had repeated distressing dreams of the event? | ✓ | ✓ | |
| E4c | Over the last 4 weeks, has [Name]… got upset if anything happened that reminded him/her of it? | ✓ | ✓ | |
| E4d | Over the last 4 weeks, has [Name]… tried to avoid thinking or talking about anything to do with the event? | ✓ | ✓ | |
| E4e | Over the last 4 weeks, has [Name]… tried to avoid activities, places or people that remind him/her of the event | ✓ | ✓ | |
| E4f | Over the last 4 weeks, has [Name]… blocked out important details of the event from his/her memory? | ✓ | ✓ | |
| E4g | Over the last 4 weeks, has [Name]… shown much less interest in activities s/he used to enjoy? | ✓ | ✓ | |
| E4h | Over the last 4 weeks, has [Name]… felt cut off or distant from others? | ✓ | ||
| E4i | Over the last 4 weeks, has [Name]… expressed a smaller range of feelings than in the past, e.g. no longer able to express loving feelings? | ✓ | ✓ | |
| E4j | Over the last 4 weeks, has [Name]… felt less confidence in the future? | ✓ | ||
| E4k | Over the last 4 weeks, has [Name]… had problems sleeping? | ✓ | ✓ | |
| E4l | Over the last 4 weeks, has [Name]… felt irritable or angry? | ✓ | ✓ | |
| E4m | Over the last 4 weeks, has [Name]… had difficulty concentrating? | ✓ | ✓ | |
| E4n | Over the last 4 weeks, has [Name]… always been on the alert for possible dangers? | ✓ | ✓ | |
| E4o | Over the last 4 weeks, has [Name]… jumped at little noises or been easily startled in other ways? | ✓ | ✓ | |
| E5 | You have told me about (Definite Symptom/s). How long after the stressful event(s) did these other problems begin? | ✓ | ✓ | |
| E6 | How long has s/he been having these problems? | ✓ | ✓ | |
| E7 | How upset or distressed is s/he by the problems that the stressful event(s) triggered off? | ✓ | ✓ | |
| E8a | Have these problems interfered with … how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| E8b | Have these problems interfered with … making and keeping friends? | ✓ | ✓ | |
| E8c | Have these problems interfered with … learning or class work? | ✓ | ✓ | |
| E8d | Have these problems interfered with … playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| E9 | Have these problems put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section F: Compulsions and Obsessions | F1 | Does [Name] have rituals or obsessions that upset him/her, waste a lot of his/her time, or interfere with his/her ability to get on with everyday life? | ✓ | ✓ |
| F2a | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Excessive cleaning: hand washing, baths, showers, toothbrushing etc. | ✓ | ✓ | |
| F2b | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Other special measures to avoid dirt, germs or poisons | ✓ | ✓ | |
| F2c | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Excessive checking: electric switches, gas taps, locks, doors, the oven | ✓ | ✓ | |
| F2d | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Repeating the same simple activity many times in a row for no reason, e.g. repeatedly standing up or sitting down or going backwards and forwards through a doorway | ✓ | ✓ | |
| F2e | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Touching things or people in particular ways | ✓ | ✓ | |
| F2f | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Arranging things so they are just so, or exactly symmetrical | ✓ | ✓ | |
| F2g | Over the last 4 weeks, has s/he had any of the following rituals (doing any of the following things over and over again even, though s/he has already done them or doesn’t need to do them at all)? Counting to particular lucky numbers or avoiding unlucky numbers | ✓ | ✓ | |
| F3 | Over the last 4 weeks, has [Name] been obsessively worrying about dirt, germs or poisons – not being able to get thoughts about them out of his/her mind? | ✓ | ✓ | |
| F4 | Over the last 4 weeks, has [Name] been obsessed by the worry that something terrible will happen to him/her or to others, e.g. illnesses, accidents, fires? | ✓ | ✓ | |
| F6 | Is this obsession about something terrible happening to him/her or to others just one part of a general concern about being separated from his/her key attachment figures, or is it a problem in its own right? | ✓ | ||
| F7 | Have his/her rituals or obsessions been present on most days for a period of at least 2 weeks? | ✓ | ✓ | |
| F8 | Does s/he think that his/her rituals or obsessions are over the top or unreasonable? | ✓ | ✓ | |
| F9 | Does s/he resist the rituals or obsessions? | ✓ | ✓ | |
| F10 | Do the rituals or obsessions upset him/her? | ✓ | ✓ | |
| F11 | Do the rituals or obsessions use up at least an hour a day on average? | ✓ | ✓ | |
| F12a | Have the rituals or obsessions interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| F12b | Have the rituals or obsessions interfered with… making and keeping friends? | ✓ | ✓ | |
| F12c | Have the rituals or obsessions interfered with… learning or class work? | ✓ | ✓ | |
| F12d | Have the rituals or obsessions interfered with… playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| F13 | Have the rituals or obsessions put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section G: Generalized Anxiety | G2 | Does [Name] ever worry? | ✓ | ✓ |
| G2A | Some children worry about just a few things, sometimes related to specific fears, obsessions or separation anxieties. Other children worry about many different aspects of their lives. They may have specific fears, obsessions or separation anxieties, but they also have a wide range of worries about many things. Is [Name] a worrier in general? | ✓ | ||
| G3 | Over the last 6 months, has [Name] worried so much about so many things that it has really upset him/her or interfered with his/her life? | ✓ | ✓ | |
| G4a | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Past behaviour: Did I do that wrong? Have I upset someone? Have they forgiven me? | ✓ | ✓ | |
| G4b | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… School work, homework or examinations | ✓ | ✓ | |
| G4c | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Disasters: Burglaries, muggings, fires, bombs etc. | ✓ | ✓ | |
| G4d | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… His/her own health | ✓ | ✓ | |
| G4e | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Bad things happening to others: family, friends, pets, the world (e.g. wars). | ✓ | ✓ | |
| G4f | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… The future: e.g. changing school, moving house, getting a job, getting a boy/girlfriend | ✓ | ✓ | |
| G4g | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Making and keeping friends | ✓ | ||
| G4h | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Death and dying | ✓ | ||
| G4i | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Being bullied or teased | ✓ | ||
| G4j | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… His/Her appearance or weight | ✓ | ||
| G4k | Over the last 6 months, and by comparison with other children of the same age, has [Name] worried about… Other specific worry (Describe) | ✓ | ✓ | |
| G6 | Over the last 6 months has s/he worried excessively on more days than not? | ✓ | ✓ | |
| G7 | Does s/he find it difficult to control the worry? | ✓ | ✓ | |
| G8a | Does worrying lead to him/her feeling restless, keyed up, on edge, or unable to relax? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G8b | Does worrying lead to him/her feeling tired or worn out more easily? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G8c | Does worrying lead to difficulties in concentrating or his/her mind going blank? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G8d | Does worrying lead to irritability? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G8e | Does worrying lead to muscle tension? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G8f | Does worrying interfere with his/her sleep, e.g. difficulty in falling or staying asleep, or restless, unsatisfying sleep? Has this been true for more days than not in the last 6 months? | ✓ | ✓ | |
| G9 | How upset or distressed is [Name] as a result of all his/her various worries? | ✓ | ✓ | |
| G10a | Have his/her worries interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| G10b | Have his/her worries interfered with… making and keeping friends? | ✓ | ✓ | |
| G10c | Have his/her worries interfered with… learning or class work? | ✓ | ✓ | |
| G10d | Have his/her worries interfered with… playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| G11 | Have his/her worries interfered with… Have these worries put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section H: Depression | H1 | In the last 4 weeks, have there been times when [Name] has been very sad, miserable, unhappy or tearful? | ✓ | ✓ |
| H2 | Over the last 4 weeks, has there been a period when s/he has been really miserable nearly every day? | ✓ | ✓ | |
| H3 | During the time when s/he has been miserable, has s/he been really miserable for most of the day? (i.e. for more hours than not) | ✓ | ✓ | |
| H4 | When s/he has been miserable, could s/he be cheered up? | ✓ | ✓ | |
| H5 | Over the last 4 weeks, the period of being really miserable has lasted: | ✓ | ||
| H7 | In the last 4 weeks, have there been times when [Name] has been grumpy or irritable in a way that has been out of character for him/her? | ✓ | ✓ | |
| H8 | Over the last 4 weeks, has there been a period when s/he has been really grumpy or irritable nearly every day? | ✓ | ✓ | |
| H9 | During the time when s/he was grumpy or irritable, was s/he really irritable for most of the day? | ✓ | ✓ | |
| H10 | Has the irritability been improved by particular activities, friends coming around or anything else? | ✓ | ✓ | |
| H11 | Over the last 4 weeks, the period of being really irritable has lasted: | ✓ | ✓ | |
| H13 | In the last 4 weeks, have there been times when [Name] lost interest in everything, or nearly everything, s/he normally enjoys doing? | ✓ | ✓ | |
| H14 | Over the last 4 weeks, has there been a period when this lake of interest has been present nearly every day? | ✓ | ✓ | |
| H15 | During the days when s/he had lost interest in things, was s/he like this for most of the day? | ✓ | ✓ | |
| H16 | Over the last 4 weeks, this loss of interest has lasted: | ✓ | ✓ | |
| H17 | Has this loss of interest been present during the same period when s/he was really miserable or irritable for most of the time? | ✓ | ✓ | |
| H18a | During the period when [Name] was sad, irritable or lacking in interest… Did s/he lack energy or seem tired all the time? | ✓ | ✓ | |
| H18b | During the period when [Name] was sad, irritable or lacking in interest… Was s/he eating either much more or much less than normal? | ✓ | ✓ | |
| H18c | During the period when [Name] was sad, irritable or lacking in interest… Did s/he either lose weight or gain a lot of weight? | ✓ | ✓ | |
| H18d | During the period when [Name] was sad, irritable or lacking in interest… Did s/he find it hard to get to sleep or to stay asleep? | ✓ | ✓ | |
| H18e | During the period when [Name] was sad, irritable or lacking in interest… Did s/he sleep too much? | ✓ | ✓ | |
| H18f | During the period when [Name] was sad, irritable or lacking in interest… Was s/he was agitated or restless much of the time? | ✓ | ✓ | |
| H18g | During the period when [Name] was sad, irritable or lacking in interest… Did s/he feel worthless, or unnecessarily guilty much of the time? | ✓ | ✓ | |
| H18h | During the period when [Name] was sad, irritable or lacking in interest… Did s/he find it unusually hard to concentrate or to think things out? | ✓ | ✓ | |
| H18i | During the period when [Name] was sad, irritable or lacking in interest… Did s/he think about death a lot? | ✓ | ✓ | |
| H18j | During the period when [Name] was sad, irritable or lacking in interest… Did s/he ever talk about harming herself or killing herself? | ✓ | ✓ | |
| H18k | During the period when [Name] was sad, irritable or lacking in interest… Did s/he ever try to harm herself or kill herself? | ✓ | ✓ | |
| H18L | Over the whole of his/her lifetime has s/he ever tried to harm himself/herself or kill himself/herself? | ✓ | ✓ | |
| H19 | How much has his/her sadness, irritability or loss of interest upset or distressed him/her? | ✓ | ✓ | |
| H20a | Has his/her sadness, irritability or loss of interest interfered with... how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| H20b | Has his/her sadness, irritability or loss of interest interfered with... making and keeping friends? | ✓ | ✓ | |
| H20c | Has his/her sadness, irritability or loss of interest interfered with... learning or class work? | ✓ | ✓ | |
| H20d | Has his/her sadness, irritability or loss of interest interfered with... playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| H21 | Has his/her sadness, irritability or loss of interest put a burden on you or the family as a whole? | ✓ | ✓ | |
| H22 | Over the last 4 weeks, has s/he talked about deliberately harming or hurting himself/herself? | ✓ | ||
| H23 | Over the last 4 weeks, has s/he tried to harm or hurt himself/herself? | ✓ | ||
| H24 | Over the whole of his/her lifetime, has s/he ever tried to harm or hurt himself/herself? | ✓ | ||
| Section J: Attention and activity | J1 | Allowing for his/her age, do you think that [Nam] definitely has some problems with overactivity or poor concentration? | ✓ | ✓ |
| J2a | Over the last 6 months, and compared with other children of his/her age … Does s/he often fidget? | ✓ | ✓ | |
| J2b | Over the last 6 months, and compared with other children of his/her age … Is it hard for him/her to stay sitting down for long? | ✓ | ✓ | |
| J2c | Over the last 6 months, and compared with other children of his/her age … Does s/he run or climb about when he shouldn't, e.g. when it is dangerous? | ✓ | ✓ | |
| J2d | Over the last 6 months, and compared with other children of his/her age … Does s/he find it hard to play or take part in other activities without making a lot of noise? | ✓ | ✓ | |
| J2e | Over the last 6 months, and compared with other children of his/her age … If s/he is rushing about, does s/he find it hard to calm down when someone asks him/her to? | ✓ | ✓ | |
| J3a | Over the last 6 months, and compared with other children of his/her own age… Does s/he often blurt out an answer before s/he has heard the question properly? | ✓ | ✓ | |
| J3b | Over the last 6 months, and compared with other children of his/her own age… Is it hard for him/her to wait his turn? | ✓ | ✓ | |
| J3c | Over the last 6 months, and compared with other children of his/her own age… Does s/he often butt in on other people's conversations or games? | ✓ | ✓ | |
| J3d | Over the last 6 months, and compared with other children of his/her own age… Does s/he often go on talking even if s/he has been asked to stop, or if no one is listening? | ✓ | ✓ | |
| J4a | Over the last 6 months, and compared with other children of his/her own age … Does s/he often make careless mistakes or fail to pay attention to what s/he is supposed to be doing? | ✓ | ✓ | |
| J4b | Over the last 6 months, and compared with other children of his/her own age … Does s/he often seem to lose interest in what s/he is doing? | ✓ | ✓ | |
| J4c | Over the last 6 months, and compared with other children of his/her own age … Does s/he often not listen to what people are saying to him/her? | ✓ | ✓ | |
| J4d | Over the last 6 months, and compared with other children of his/her own age … Does s/he often not finish a job properly? | ✓ | ✓ | |
| J4e | Over the last 6 months, and compared with other children of his/her own age … Is it often hard for him/her to get himself organized to do something? | ✓ | ✓ | |
| J4f | Over the last 6 months, and compared with other children of his/her own age … Does s/he often try to get out of things that would have to think about, such as homework? | ✓ | ✓ | |
| J4g | Over the last 6 months, and compared with other children of his/her own age … Does s/he often lose things s/he needs for school or games? | ✓ | ✓ | |
| J4h | Over the last 6 months, and compared with other children of his/her own age … Is s/he easily distracted? | ✓ | ✓ | |
| J4i | Over the last 6 months, and compared with other children of his/her own age … Is s/he often forgetful? | ✓ | ✓ | |
| J5a | Have his/her teachers complained over the last 6 months of problems with... fidgetiness, restlessness or overactivity? | ✓ | ✓ | |
| J5b | Have his/her teachers complained over the last 6 months of problems with... poor concentration or being easily distracted? | ✓ | ✓ | |
| J5c | Have his/her teachers complained over the last 6 months of problems with... acting without thinking about what s/he is doing, frequently butting in, or not waiting his/her turn? | ✓ | ✓ | |
| J6 | Have his/her difficulties with activity or concentration been there for at least 6 months? | ✓ | ||
| J7 | How old was s/he when his difficulties with activity or concentration began? | ✓ | ✓ | |
| J8 | How much have his/her difficulties with activity or concentration upset or distressed him/her? | ✓ | ✓ | |
| J9a | Have his/her difficulties with activity or concentration interfered with … how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| J9b | Have his/her difficulties with activity or concentration interfered with … making and keeping friends? | ✓ | ✓ | |
| J9c | Have his/her difficulties with activity or concentration interfered with … learning or class work? | ✓ | ✓ | |
| J9d | Have his/her difficulties with activity or concentration interfered with … playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| J10 | Have these difficulties with activity or concentration put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section K: Awkward and troublesome behaviour | K1 | Thinking about the last 6 months, how does his/her behaviour compare with other children of his/her age? | ✓ | ✓ |
| K2a | Over the last 6 months, and as compared with children of the same age, has s/he often… had temper outbursts? | ✓ | ✓ | |
| K2b | Over the last 6 months, and as compared with children of the same age, has s/he often… argued with grown-ups? | ✓ | ✓ | |
| K2c | Over the last 6 months, and as compared with children of the same age, has s/he often… taken no notice of rules, or refused to do as s/he is told? | ✓ | ✓ | |
| K2d | Over the last 6 months, and as compared with children of the same age, has s/he often… seemed to do things to annoy other people on purpose? | ✓ | ✓ | |
| K2e | Over the last 6 months, and as compared with children of the same age, has s/he often… blamed others for his/her own mistakes or bad behaviour? | ✓ | ✓ | |
| K2f | Over the last 6 months, and as compared with children of the same age, has s/he often… been touchy or easily annoyed? | ✓ | ✓ | |
| K2g | Over the last 6 months, and as compared with children of the same age, has s/he often… been angry and resentful? | ✓ | ✓ | |
| K2h | Over the last 6 months, and as compared with children of the same age, has s/he often… been spiteful? | ✓ | ✓ | |
| K2i | Over the last 6 months, and as compared with children of the same age, has s/he often… tried to get his/her own back on people? | ✓ | ✓ | |
| K3 | Have his/her teachers complained over the last 6 months of problems with this kind of awkward behaviour or disruptiveness in class? | ✓ | ✓ | |
| K4 | Has his/her awkward behaviour been there for at least 6 months? | ✓ | ||
| K5 | How old was s/he when this sort of awkward behaviour began? | ✓ | ✓ | |
| K6a | Has his/her awkward behaviour interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| K6b | Has his/her awkward behaviour interfered with… making and keeping friends? | ✓ | ✓ | |
| K6c | Has his/her awkward behaviour interfered with… learning or class work? | ✓ | ✓ | |
| K6d | Has his/her awkward behaviour interfered with... playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| K7 | Has his/her awkward behaviour put a burden on you or the family as a whole? | ✓ | ✓ | |
| K8a | Over the last 12 months, has s/he … told lies in order to get things or favours from others, or to get out of having to do things s/he is supposed to do? | ✓ | ✓ | |
| K8b | Over the last 12 months, has s/he … has s/he often started fights? (Other than with brothers and sisters) | ✓ | ✓ | |
| K8c | Over the last 12 months, has s/he … bullied or threatened people? | ✓ | ✓ | |
| K8d | Over the last 12 months, has s/he … has s/he often stayed out after dark much later than s/he was supposed to? | ✓ | ✓ | |
| K8e | Over the last 12 months, has s/he … stolen from the home, or from other people's homes, or from shops or school? | ✓ | ✓ | |
| K8f | Over the last 12 months, has s/he … has s/he run away from home more than once, or ever stayed away all night without your permission? | ✓ | ✓ | |
| K8g | Over the last 12 months, has s/he … has s/he often played truant (bunked off) from school? | ✓ | ✓ | |
| K9 | Did s/he start playing truant (bunking off) from school before s/he was 13? | ✓ | ||
| K10a | As far as you know, have any of the following happened even once in the last 12 months? Has s/he used a weapon or anything that could seriously hurt someone? Has this happened in the last 6 months? | ✓ | ||
| K10b | As far as you know, have any of the following happened even once in the last 12 months? Has s/he really hurt someone or been physically cruel to them? Has this happened in the last 6 months? | ✓ | ||
| K10c | As far as you know, have any of the following happened even once in the last 12 months? Has s/he been really cruel on purpose to animals and birds? Has this happened in the last 6 months? | ✓ | ||
| K10d | As far as you know, have any of the following happened even once in the last 12 months? Has s/he deliberately started a fire? Has this happened in the last 6 months? | ✓ | ||
| K10e | As far as you know, have any of the following happened even once in the last 12 months? Has s/he deliberately destroyed someone else’s property? Has this happened in the last 6 months? | ✓ | ||
| K10f | As far as you know, have any of the following happened even once in the last 12 months? Has s/he been involved in stealing on the streets, e.g. snatching a handbag or mugging? Has this happened in the last 6 months? | ✓ | ||
| K10g | As far as you know, have any of the following happened even once in the last 12 months? Has s/he tried to force someone to have sexual activity against their will? Has this happened in the last 6 months? | ✓ | ||
| K10h | As far as you know, have any of the following happened even once in the last 12 months? Has s/he broken into a house, any other building or a car? Has this happened in the last 6 months? | ✓ | ||
| K11 | Have his/her teachers complained of troublesome behaviour over the last 6 months? | ✓ | ||
| K11AA | Has his/her troublesome behaviour been present for at least 6 months? | ✓ | ||
| K11A | Has [Name] ever been in trouble with the police? | ✓ | ||
| K12a | Has his/her troublesome behaviour interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ||
| K12b | Has his/her troublesome behaviour interfered with… making and keeping friends? | ✓ | ||
| K12c | Has his/her troublesome behaviour interfered with… learning or class work? | ✓ | ||
| K12d | Has his/her troublesome behaviour interfered with… playing, hobbies, sports or other leisure activities? | ✓ | ||
| K13 | Has his/her troublesome behaviour put a burden on you or the family as a whole? | ✓ | ||
| Section P: Dieting, weight and body shape | P1a | Has [Name] ever thought s/he was fat even when other people said s/he was very thin? | ✓ | |
| P1b | Would [Name] be ashamed if other people knew how much s/he eats? | ✓ | ||
| P1c | Has [Name] ever deliberately made him/herself vomit (throw up)? | ✓ | ||
| P1d | Do worries about eating (what? where? how much?) really interfere with his/her life? | ✓ | ||
| P1e | If [Name] eats too much, does s/he blame him/herself a lot? | ✓ | ||
| P2a | How tall is [Name]? (approximately) | ✓ | ||
| P2b | How much does [Name] weigh at present? (approximately) | ✓ | ||
| P2c | What was his/her lowest weight in the last 12 months? | ✓ | ||
| P2d | What was his/her highest weight ever? (excluding pregnancy) | ✓ | ||
| P3 | At present would you describe your study teenager as very thin, thin, average, plump or fat? | ✓ | ✓ | |
| P4 | Comparing how s/he is this year with how s/he has been in previous years, would you say s/he was even thinner in previous years, always this thin, a little thinner this year than in previous years, or a lot thinner this year than in previous years? | ✓ | ||
| P5 | At present, would s/he describe him/herself as very thin, thin, average, plump or fat? | ✓ | ✓ | |
| P6 | Have you or other people (e.g. family, friend, a doctor) been seriously concerned that his/her weight has been bad for her physical health? | ✓ | ✓ | |
| P7 | What does [Name} think? Does s/he think that his/her weight has been bad for his/her physical health? | ✓ | ✓ | |
| P8 | Is [Name] afraid of gaining weight or getting fat? | ✓ | ✓ | |
| P9 | Does the thought of gaining weight or getting fat really terrify him/her? | ✓ | ||
| P10 | If a doctor told him/her that s/he needed to put on five pounds (two kilograms) for the sake of his/her health, would s/he find this easy, difficult or impossible to accept? (If a child has physical problems that make it hard | ✓ | ✓ | |
| P11 | Does [Name] avoid the sorts of food that s/he thinks will make him/her fat? | ✓ | ✓ | |
| P12 | How often does [Name] succeed in this? (i.e. avoiding fattening food) | ✓ | ✓ | |
| P13 | Does [Name] spend a lot of his/her time thinking about food? | ✓ | ✓ | |
| P14 | Sometimes people say that they have such a strong desire for food, and that this desire is so hard to resist, that it is like an addict feels about drugs or alcohol. Does this apply to him/her? | ✓ | ✓ | |
| P15 | Sometimes people lose control over what they eat, and then they eat a very large amount of food in a short time. Does this happen to him/her? | ✓ | ✓ | |
| P16 | Over the last three months, how often on average has this happened? | ✓ | ✓ | |
| P17 | When this happens, does [Name] have a sense of having lost control over his/her eating? | ✓ | ✓ | |
| P17a | Please describe how much s/he typically eats during one of his/her episodes of eating too much ('binge'): | ✓ | ✓ | |
| P18a | Over the last three months, has [Name] done any of the following to avoid putting on weight? Eating less at meals | ✓ | ✓ | |
| P18b | Over the last three months, has [Name] done any of the following to avoid putting on weight? Skipping meals | ✓ | ✓ | |
| P18c | Over the last three months, has [Name] done any of the following to avoid putting on weight? Going without food for long periods, e.g. all day or most of the day | ✓ | ✓ | |
| P18d | Over the last three months, has [Name] done any of the following to avoid putting on weight? Hiding or throwing away food that others give him/her | ✓ | ✓ | |
| P18e | Over the last three months, has [Name] done any of the following to avoid putting on weight? Exercising more | ✓ | ✓ | |
| P18f | Over the last three months, has [Name] done any of the following to avoid putting on weight? Making him/herself vomit (throw up) | ✓ | ✓ | |
| P18g | Over the last three months, has [Name] done any of the following to avoid putting on weight? Taking pills or medicines in order to lose weight (Please describe) | ✓ | ✓ | |
| P18h | Over the last three months, has [Name] done any of the following to avoid putting on weight? Doing other things (e.g. not taking insulin if diabetic). (Please describe) | ✓ | ✓ | |
| P19 | You told me earlier about the times when [Name] loses control and eats too much. After s/he does this, does s/he normally then (restrict eating/ exercise/ vomit/ take pills or medicine) to stop him/herself putting on weight? | ✓ | ||
| P20 | Has she had any periods in the last three months? | ✓ | ||
| P21 | Has she ever had any periods? | ✓ | ||
| P22 | Is she taking any hormone pills or injections? (including contraceptives) | ✓ | ||
| P23 | Please describe how her periods have been in general, and how they have been recently. | ✓ | ||
| P24 | Why do you think she has not had any periods in the last 3 months? | ✓ | ✓ | |
| P25 | Please describe what effects the hormone pills or injections have on her periods. | ✓ | ||
| P26 | You have told me about his/her eating pattern and concern about weight or body shape. How upset or distressed is s/he by this? | ✓ | ✓ | |
| P27a | How much have his/her eating pattern or concern about weight and body shape interfered with... how well s/he gets on with you and the rest of the family? | ✓ | ✓ | |
| P27b | How much have his/her eating pattern or concern about weight and body shape interfered with... making and keeping friends? | ✓ | ✓ | |
| P27c | How much have his/her eating pattern or concern about weight and body shape interfered with... learning or class work? | ✓ | ✓ | |
| P27d | How much have his/her eating pattern or concern about weight and body shape interfered with... playing, hobbies, sports or other leisure activities? | ✓ | ✓ | |
| P28 | Has her eating pattern or concern about weight or body shape put a burden on you or the family as a whole? | ✓ | ✓ | |
| Section Q: Ties | Q1 | Over the last 12 months, has [Name] had any tic movements that s/he couldn't seem to control - such as excessive eye blinking, facial grimaces, nose twitches or head nodding? | ✓ | |
| Q2 | Over the last 12 months, has [Name] had any tic sounds that s/he couldn't seem to control - such as excessive sniffing, coughing or throat clearing? | ✓ | ||
| Q3a | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Excessive blinking of eyes | ✓ | ||
| Q3b | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Raising of eyebrows | ✓ | ||
| Q3c | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Screwing up eyes | ✓ | ||
| Q3d | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Rolling eyes up, down or sideways | ✓ | ||
| Q3e | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Twitching of nose | ✓ | ||
| Q3f | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Flaring of nostrils | ✓ | ||
| Q3g | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Pouting of mouth (as if giving a kiss) | ✓ | ||
| Q3h | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Stretching mouth wide open | ✓ | ||
| Q3i | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Nodding of head | ✓ | ||
| Q3j | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Screwing up of face | ✓ | ||
| Q3k | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Touching chin to shoulder | ✓ | ||
| Q3l | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Stretching neck | ✓ | ||
| Q3m | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Shrugging shoulder | ✓ | ||
| Q3n | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Jerking movement of arm or leg | ✓ | ||
| Q3o | Thinking about the whole of his life, has s/he ever had motor tics involving any of the following types of repeated movement? Other motor tics | ✓ | ||
| Q4 | Do you think that some or all of his/her movements could have been caused by other things? | ✓ | ||
| Q5 | Please describe what other things might have caused his/her movements | ✓ | ||
| Q6a | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Throat clearing | ✓ | ||
| Q6b | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Excessive sniffing | ✓ | ||
| Q6c | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Coughing as a habit | ✓ | ||
| Q6d | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Gulping | ✓ | ||
| Q6e | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? High-pitched squeaks | ✓ | ||
| Q6f | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Making little noises, e.g. ‘Ah’, ‘Eh’, ‘Eee’ | ✓ | ||
| Q6g | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Sucking noises | ✓ | ||
| Q6h | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Burping, not just when eating or drinking | ✓ | ||
| Q6i | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? A word said repeatedly and out of context | ✓ | ||
| Q6j | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Swearing, without meaning to and without being annoyed | ✓ | ||
| Q6k | Thinking about the whole of his/her life, has s/he ever had vocal tics involving any of the following types of repeated sounds? Other vocal tics (Describe:) | ✓ | ||
| Q7 | Do you think that some or all of his/her sounds could have been caused by other things? | ✓ | ||
| Q8 | Please describe what other things might have caused his/her sounds | ✓ | ||
| Q9 | Do the tics go away when s/he is asleep? | ✓ | ||
| Q10 | Do the tics sometimes worsen when s/he relaxes, e.g. while watching TV after a busy day at school? | ✓ | ||
| Q11 | If [Name] tries really hard, can s/he stop the tics from happening? | ✓ | ||
| Q12 | If s/he uses her will power to keep the tics under control for a while, does s/he get a rebound later, e.g. fewer tics when visitors come, but an extra burst of them later when they’ve gone? | ✓ | ||
| Q13 | How old was s/he when the tics first began? | ✓ | ||
| Q14 | Over the last year, has [Name] had any bad weeks for tics? | ✓ | ||
| Q15 | When did [Name] first start having bad weeks for tics? | ✓ | ||
| Q16 | Over the last year, roughly how many weeks have been bad weeks for tics? | ✓ | ||
| Q17 | Over the last year, has [Name] had a period of at least 4 weeks in a row that were bad weeks for tics? | ✓ | ||
| Q18 | Have the last 4 weeks been bad weeks for tics? | ✓ | ||
| Q19 | Over the last year, has [Name] had any tic-free periods lasting weeks or months? | ✓ | ||
| Q20 | What has been the longest tic-free period this year? | ✓ | ||
| Q21 | How upset or distressed is [Name] as a result of all his/her tics? | ✓ | ||
| Q22a | Have his/her tics interfered with… how well s/he gets on with you and the rest of the family? | ✓ | ||
| Q22b | Have his/her tics interfered with… making and keeping friends? | ✓ | ||
| Q22c | Have his/her tics interfered with… learning or class work? | ✓ | ||
| Q22d | Have his/her tics interfered with… playing, hobbies, sports or other leisure activities? | ✓ | ||
| Q23 | Have the tics put a burden on you or the family as a whole? | ✓ | ||
| Section L: Other concerns | L1a | In his/her first 3 years of life, was there anything that seriously worried you about… the way his/her speech developed? | ✓ | ✓ |
| L1b | In his/her first 3 years of life, was there anything that seriously worried you about… how s/he got on with other people? | ✓ | ✓ | |
| L1c | In his/her first 3 years of life, was there anything that seriously worried you about… any odd rituals or unusual habits that were very hard to interrupt? | ✓ | ✓ | |
| L2 | Have all these early delays or difficulties now cleared up completely? | ✓ | ✓ | |
| L3 | Does s/he have any tics or twitches that s/he can’t seem to control? | ✓ | ✓ | |
| L4 | Have you been concerned about him/her being too thin or dieting too much? | ✓ | ||
| L5 | Apart from the things you have already told me about, are there any other aspects of his/her psychological development that really concern you? | ✓ | ||
| L6 | Apart from the things you have already told me about, are there any other aspects of his/her psychological development that really concern his/her teachers? | ✓ | ||
| Section M: Areas of difficulty | M1 | Check list of difficulty | ✓ | |
| M1Dev | Development = difficulties with language, routines, play, or social ability | ✓ | ||
| M1A | Separation anxiety = fear of being separated from (list from A1) | ✓ | ||
| M1B | Specific phobia = fear of (from B1) | ✓ | ||
| M1C | Social phobia = fear of (from C2) | ✓ | ||
| M1D | Panic = Panic attacks | ✓ | ||
| Agoraphobia = Avoidance of crowds, being out alone etc. (from D2) | ✓ | |||
| M1E | Post traumatic stress = distress triggered by his/her experience of (from E2) | ✓ | ||
| M1F | Obsessions and compulsions = rituals or obsessions involving (from F2, F3 and F4) | ✓ | ||
| M1G | Generalized anxiety = excessive worrying about (from G4) | ✓ | ||
| M1H | Depression | ✓ | ||
| Irritability | ✓ | |||
| Loss of interest | ✓ | |||
| Deliberate self-harm | ✓ | |||
| M1J | Hyperactivity = difficulties with activities and attention such as (from J2, J3 and J4) | ✓ | ||
| M1K | Awkward behaviour = awkward behaviour such as (from K2) | ✓ | ||
| Troublesome behaviour = troublesome behaviour such as (from K8 and K10) | ✓ | |||
| Troublesome with the Police | ✓ | |||
| M1P | Very thin | ✓ | ||
| Focus on weight and food | ✓ | |||
| Loss of control | ✓ | |||
| Avoidance of weight gain | ✓ | |||
| M1Q | Motor tics | ✓ | ||
| Vocal tics | ✓ | |||
| M1L | Other concerns = Concerns about (from L2, L3 L4 L5 and L6) | ✓ | ||
| M2R1 | Please describe any aspects of his/her language, routines, play, or social ability that have concerned you at some point in his/her life. | ✓ | ||
| M2R2 | Are any of these difficulties interfering with his/her everyday life at present? If so, please describe what the current difficulties are, and how they are interfering with his/her life. | ✓ | ||
| M2R3 | Have these difficulties ever been given a diagnosis or label? If so, who suggested the diagnosis or label, and what was it? | ✓ | ||
| M2R4 | What help, if any, has s/he had for these difficulties? | ✓ | ||
| M2A1 | Please describe his/her current worries about separation. How do these worries show themselves? | ✓ | ||
| M2A2 | How often does this worrying lead to difficulties? | ✓ | ||
| M2A3 | How severe are the difficulties at their worst? | ✓ | ||
| M2A4 | How long has he or she had these worries about separation? | ✓ | ||
| M2A5 | Are these worries interfering with his or her quality of life? If so, how? | ✓ | ||
| M2A6 | What do you think the worries are due to? | ✓ | ||
| M2A7 | Have you tried to do anything about these worries? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2B1 | Please describe any fears that are a real nuisance, that seriously upset him or her, or that lead to him or her not doing things that he or she would otherwise want to do. | ✓ | ||
| M2B2 | How often are his or her fears a nuisance or upsetting for him or her? | ✓ | ||
| M2B3 | How severe are the fears at their worst? | ✓ | ||
| M2B4 | Are his or her fears interfering with his or her quality of life? If so, how? | ✓ | ||
| M2B5 | Have you tried to do anything about these fears? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2C1 | Please describe any social fears that are a real nuisance, that seriously upset him or her, or that lead to him or her not doing things that he or she would otherwise want to do. | ✓ | ||
| M2C2 | How often do his or her social fears cause difficulties or upset him or her? | ✓ | ||
| M2C3 | How severe are these social fears at their worst? | ✓ | ||
| M2C4 | Are his or her social fears interfering with his or her quality of life? If so, how? | ✓ | ||
| M2C5 | Have you tried to do anything about these social fears? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2D1 | Please describe as fully as possible what these panic attacks are like, how often they occur, when they started, and what effect they have on his/her life. | ✓ | ||
| M2D2 | We’d like to hear more about his/her fear or avoidance of crowds, public places, travelling alone, or being far from home. Please describe this as fully as possible. Please also tell us how often this occurs, when it started, and what effect it has on his or her life. | ✓ | ||
| M2E1 | What was the extremely stressful event? We're very sorry if asking about this is upsetting for you too. You only need to tell us enough details for us to make sense of his/her current symptoms. | ✓ | ||
| M2E2 | Please describe the symptoms that [Name] still has as a result of his or her very stressful experience. | ✓ | ||
| M2E3 | How often do these symptoms cause difficulties or upset him or her? | ✓ | ||
| M2E4 | How severe are the symptoms at their worst? | ✓ | ||
| M2E5 | Are the symptoms interfering with his or her quality of life? If so, how? | ✓ | ||
| M2E6 | Have you tried to do anything about these symptoms? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2F1 | Please describe all of his/her rituals or obsessions. | ✓ | ||
| M2F2 | How often do these rituals or obsessions cause difficulties or upset him or her? | ✓ | ||
| M2F3 | How severe are the rituals or obsessions at their worst? | ✓ | ||
| M2F4 | How long have they been present? | ✓ | ||
| M2F5 | Are they interfering with his or her quality of life? If so, how? | ✓ | ||
| M2F6 | Have you tried to do anything about these rituals or obsessions? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2G1 | Please describe what it is that [Name] worries about? | ✓ | ||
| M2G2 | How often does this worrying lead to difficulties? | ✓ | ||
| M2G3 | How severe are the worries at their worst? | ✓ | ||
| M2G4 | How long has he or s/he worried a lot about things? | ✓ | ||
| M2G5 | Are his or her worries interfering with his or her quality of life? If so, how? | ✓ | ||
| M2G6 | Have you tried to do anything about these worries? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2H1 | Please describe his/her mood (sadness, irritability) and his or her level of interest in things. | ✓ | ||
| M2H2 | What else has changed at the same time as his or her mood and level of interest? If relevant, tell us about energy, appetite, sleep, self-confidence, blaming him or herself, hopelessness about the future, thoughts of death, self-harm etc. | ✓ | ||
| M2H3 | Over the last 4 weeks, how much of the time has he or s/he been like this? | ✓ | ||
| M2H4 | Over the last 4 weeks, how severe have the difficulties been at their worst? | ✓ | ||
| M2H5 | When did this episode of low mood, irritability or loss of interest begin? | ✓ | ||
| M2H6 | What do you think triggered this episode off? | ✓ | ||
| M2H7 | Has he or s/he had similar episodes in the past? If so, please describe. | ✓ | ||
| M2H8 | Has he or s/he had episodes in the past when he or she has gone 'high' instead of 'low'? If so, please describe. | ✓ | ||
| M2H9 | Is his or her mood or loss of interest interfering with his or her quality of life? If so, how? | ✓ | ||
| M2H10 | Have you tried to do anything about his or her mood or loss of interest? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2H11 | It would help us to hear more about his/her harming or hurting himself/herself, or at least talking about doing so. | ✓ | ||
| M2J1 | Please describe difficulties that [Name] has with overactivity, lack of attention or impulsiveness. | ✓ | ||
| M2J2 | How often does his or her level of activity or his or her lack of attention lead to difficulties? | ✓ | ||
| M2J3 | How severe are the difficulties at their worst? | ✓ | ||
| M2J4 | How long has he or she been like this? | ✓ | ||
| M2J5 | Is his or her level of activity or his or her lack of attention interfering with his or her quality of life? If so, how? | ✓ | ||
| M2J6 | Have you tried to do anything about his or her overactivity, lack of attention or impulsiveness? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2K1 | Please describe his/her awkward and troublesome behaviour. | ✓ | ||
| M2K2 | How often does this behaviour lead to difficulties? | ✓ | ||
| M2K3 | How severe are the difficulties at their worst? | ✓ | ||
| M2K4 | How long has he or she been like this? | ✓ | ||
| M2K5 | Is his or her awkward and troublesome behaviour interfering with his or her quality of life? If so, how? | ✓ | ||
| M2K6 | Have you tried to do anything about his or her behaviour? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2P1 | Please describe any current concerns about his/her eating pattern, weight or body shape. | ✓ | ||
| M2P2 | Are the difficulties with food or weight due to a medical condition? If so, what is the condition? | ✓ | ||
| M2P3 | When did these concerns about food or weight start? | ✓ | ||
| M2P4 | Thinking about a typical day, please tell us what [Name] eats, what s/he avoids eating, and any calorie limit or rules that s/he uses to decide what to eat. | ✓ | ||
| M2P5 | Has his/her eating pattern or concern about his/her weight affected other aspects of his/her life? For example, reducing his/her interest in things that other people of his/her age enjoy, or affecting how well s/he gets on with family or friends. | ✓ | ||
| M2P6 | Has s/he, or have you or anyone else in the family, asked a doctor or a psychologist to help him/her with food or with his/her weight? If yes, what advice or help did you get? Did it help? | ✓ | ||
| M2P7 | Has [Name] had any medical problems related to his/her eating patterns, to his/her weight, or to the ways s/he controls his/her weight? (Include bleeding after vomiting, fainting, excessive weakness, constipation, visits to Accident and Emergency Departments, dental problems, etc.) | ✓ | ||
| M2Q1 | Please describe his/her tics in your own words | ✓ | ||
| M2Q2 | How frequent and severe are they at their worst? | ✓ | ||
| M2Q3 | When and how did they start? | ✓ | ||
| M2Q4 | Are the tics interfering with his or her quality of life? If so, how? | ✓ | ||
| M2Q5 | Have you tried to do anything about the tics? If so, please describe what you've tried to do, any help that you have had, and whether this has made a difference. | ✓ | ||
| M2L1 | We would like to hear more about the sorts of difficulties that [Name] has with language, getting on with people, odd habits or unusual rituals. | ✓ | ||
| M2L2 | We would like to hear more about his or her tics or twitches. | ✓ | ||
| M2L3 | We would like to hear more about your concerns about his or her weight or dieting. | ✓ | ||
| M2L4 | We would like to hear more about the other things that you are concerned about. | ✓ | ||
| M2L5 | We would like to hear more about his or her teachers' concerns. | ✓ | ||
| M2X1 | Finally, this is your opportunity as an interviewer to comment on the interview in general, e.g. to describe the level of motivation or understanding of the respondent, or to record your observations about the child’s activity level while you were interviewing the child’s parent. | ✓ | ||
| Section N: Strengths | N1a | Do the following descriptions apply to him/her? Generous | ✓ | ✓ |
| N1b | Do the following descriptions apply to him/her? Lively | ✓ | ✓ | |
| N1c | Do the following descriptions apply to him/her? Keen to learn | ✓ | ✓ | |
| N1d | Do the following descriptions apply to him/her? Affectionate | ✓ | ✓ | |
| N1e | Do the following descriptions apply to him/her? Reliable and responsible | ✓ | ✓ | |
| N1f | Do the following descriptions apply to him/her? Easy going | ✓ | ✓ | |
| N1g | Do the following descriptions apply to him/her? Good fun, good sense of humour | ✓ | ✓ | |
| N1h | Do the following descriptions apply to him/her? Interested in many things | ✓ | ✓ | |
| N1i | Do the following descriptions apply to him/her? Caring, kind-hearted | ✓ | ✓ | |
| N1j | Do the following descriptions apply to him/her? Bounces back quickly after setbacks | ✓ | ✓ | |
| N1k | Do the following descriptions apply to him/her? Grateful, appreciative of what s/he gets | ✓ | ✓ | |
| N1l | Do the following descriptions apply to him/her? Independent | ✓ | ✓ | |
| N2a | What are the things s/he does that really please you? Helps around the home | ✓ | ✓ | |
| N2b | What are the things s/he does that really please you? Gets on well with the rest of the family | ✓ | ✓ | |
| N2c | What are the things s/he does that really please you? Does homework without needing to be reminded | ✓ | ✓ | |
| N2d | What are the things s/he does that really please you? Creative activities: art, acting, music, making things | ✓ | ✓ | |
| N2e | What are the things s/he does that really please you? Likes to be involved in family activities | ✓ | ✓ | |
| N2f | What are the things s/he does that really please you? Takes care of his appearance | ✓ | ✓ | |
| N2g | What are the things s/he does that really please you? Good at school work | ✓ | ✓ | |
| N2h | What are the things s/he does that really please you? Polite | ✓ | ✓ | |
| N2i | What are the things s/he does that really please you? Good at sport | ✓ | ✓ | |
| N2j | What are the things s/he does that really please you? Keeps his/her bedroom tidy | ✓ | ✓ | |
| N2k | What are the things s/he does that really please you? Good with friends | ✓ | ✓ | |
| N2l | What are the things s/he does that really please you? Well behaved | ✓ | ✓ | |
| N3 | Does [Name] have any other good points you particularly want to mention? | ✓ | ✓ |
Note: Version 2 was not created originally by the scale authors, but the study's researchers.
Use of this scale in CLOSER Discovery study questionnaires and datasets
| Version | Study | Year | Questionnaire | Dataset |
|---|---|---|---|---|
| Original 581-item version | ALSPAC | 2004-2006 | My Teenage Son/Daughter | |
| ALSPAC 274-item version* | ALSPAC | 1998-2000 | My Son/Daughter's Well-being | ALSPAC My Sons/Daughters Well-being Questionnaire Dataset |
| ALSPAC 274-item version* | ALSPAC | 2002-2003 | My Daughter's Health and Happiness | ALSPAC My Son's/Daughter's Health and Happiness Questionnaire Dataset |
| ALSPAC 274-item version* | ALSPAC | 2005-2006 | Wellbeing of my Teenage Daughter | ALSPAC Well-being of My Teenage Son/Daughter Questionnaire Dataset |