Emotional and physical health go together in children. Because parents are often the first to notice a problem with their child's behavior, emotions or learning, you may help your child get the best care possible by answering these questions. Please indicate which statement best describes your child.
Please mark under the heading that best describes your child:
0 - Never
1 - Sometimes
2 - Often
Your message will be encrypted.
Your browser does not support capabilities required for electronic signatures.