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Self |
Other |
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Does your child make careless mistakes? |
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Does your child not finish tasks? |
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Is your child not able to listen for extended periods? |
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Does your child resist organization or lose things easily? |
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Does your child find it unpleasant to do thinking tasks for extended periods? |
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Is your child easily distracted by noise or events that are easily ignored by others? |
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Is your child forgetful? |
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Does your child have difficulty sitting still? |
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Is your child’s behavior marked by excessive activity? |
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Is your child impatient? |
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Does your child frequently do things without thinking? |
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Does your child cause or threaten harm to others, self, animals, or objects? |
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Does your child lose his/her temper? |
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Does your child argue or refuse to comply with direction? |
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Does your child annoy others? |
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Does your child blame others for his or her own misbehavior? |
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Is your child easily annoyed? |
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Is your child angry and resentful? |
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Is your child spiteful and vindictive? |
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Does your child seem depressed? (See Depression Screening.) |
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Does your child seem anxious? (See Anxiety Screening.) |
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Have you noticed changes in usual patterns of behavior? (See Addictions Screening.) |
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Your child gets physically aggressive or engages in dangerous behavior. |
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You are concerned about the checked symptoms. |
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You checked “3’s” and “4’s” and have noticed this behavior before your child turned seven and you have noticed it for at least six months. |
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These behavior occur in at least two settings, i. e. school and home. |
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These behavior interfere with daily tasks. |