Is Your Child in Need of Therapy?

  1. My child chooses to be alone?

    always
    sometimes
    never

  2. My child's grades in school have dropped dramatically

    always
    sometimes
    never

  3. My child has trouble getting along with his/her peers

    always
    sometimes
    never

  4. My child is easily led by others

    always
    sometimes
    never

  5. My child has difficulty paying attention at school and/or during playtime

    always
    sometimes
    never

  6. My child does not seem to listen when spoken to by others

    always
    sometimes
    never

  7. My child has trouble sitting still

    always
    sometimes
    never

  8. My child interrupts others

    always
    sometimes
    never

  9. My child loses his/her temper

    always
    sometimes
    never

  10. My child refuses to comply with adult's requests

    always
    sometimes
    never

  11. My child appears angry

    always
    sometimes
    never

  12. My child feels hopeless or helpless

    always
    sometimes
    never

  13. My child seems anxious

    always
    sometimes
    never

  14. My child worries about upcoming events

    always
    sometimes
    never

  15. 15. My child has difficulty controlling his/her anxiety

    always
    sometimes
    never

  16. My child appears depressed

    always
    sometimes
    never

  17. My child has difficulty with sleep(either getting to sleep or sleeping more than usual)

    always
    sometimes
    never

  18. My child's appetite has changed (either eating more than usual or less than usual)

    always
    sometimes
    never

 

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