Directions: Each rating should be considered in the context of what is appropriate for the age of your child. Please think about your child’s behaviors since the last assessment scale was filled out when rating his/her behaviors.
Frequency Code: 1 = Excellent; 2 = Above Average; 3 = Average; 4 = Somewhat of a Problem; 5 = Problematic
The information contained in this publication should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.