CPS-Q

CPS-Q

Strengths & Difficulties Questionnaire - Parent Form (P 4-17 years old)

Young Persons Initials

Organisation (School or Children's Home)

Date Completed

Think about how your child has been over the last term and complete the form.

1. Considerate of other people's feelings

Not True

Somewhat True

Certainly True

2. They are restless, cannot stay still for long, overactive

Not True

Somewhat True

Certainly True

3. Complains of headaches, stomach-aches or sickness

Not True

Somewhat True

Certainly True

4. Usually share with others (food, games, pens etc.)

Not True

Somewhat True

Certainly True

5. Can be very angry and often has temper tantrums

Not True

Somewhat True

Certainly True

6. Usually on their own. Generally play alone or keep to themselves

Not True

Somewhat True

Certainly True

7. Usually do as they are told

Not True

Somewhat True

Certainly True

8. They worry a lot

Not True

Somewhat True

Certainly True

9. They are helpful if someone is hurt, upset or feeling ill

Not True

Somewhat True

Certainly True

10. Are constantly fidgeting or squirming

Not True

Somewhat True

Certainly True

11. They have one good friend or more

Not True

Somewhat True

Certainly True

12. Often fights with other children or bullies them

Not True

Somewhat True

Certainly True

13. Often unhappy, down-hearted or tearful

Not True

Somewhat True

Certainly True

14. Generally liked by other children

Not True

Somewhat True

Certainly True

15. Easily distracted, finds it difficult to concentrate

Not True

Somewhat True

Certainly True

16. Nervous in new situations, easily loses confidence

Not True

Somewhat True

Certainly True

17. Kind to younger children

Not True

Somewhat True

Certainly True

18. Often accused of lying or cheating

Not True

Somewhat True

Certainly True

19. Other children or young people pick on them or bully them

Not True

Somewhat True

Certainly True

20. Often volunteers to help others (parents, teachers, children)

Not True

Somewhat True

Certainly True

21. Thinks before they do things

Not True

Somewhat True

Certainly True

22. Steals from home, school or elsewhere

Not True

Somewhat True

Certainly True

23. Gets on better with adults than other children

Not True

Somewhat True

Certainly True

24. Has many fears, easily scared

Not True

Somewhat True

Certainly True

25. Finishes the work, good attention

Not True

Somewhat True

Certainly True