CPS-Q

CPS-Q

Strengths & Difficulties Questionnaire - Student Form (S 11-17)

Young Persons Initials

Organisation (School or Children's Home)

Date Completed

Think about how you have been over the last term and complete the form.

1. I try to be nice to other people. I care about their feelings

Not True

Somewhat True

Certainly True

2. I am restless, I cannot stay still for long

Not True

Somewhat True

Certainly True

3. I get a lot of headaches, stomach-aches or sickness

Not True

Somewhat True

Certainly True

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

Not True

Somewhat True

Certainly True

5. I get very angry and often lose my temper

Not True

Somewhat True

Certainly True

6. I am usually on my own. I generally play alone or keep to myself

Not True

Somewhat True

Certainly True

7. I usually do as I am told

Not True

Somewhat True

Certainly True

8. I worry a lot

Not True

Somewhat True

Certainly True

9. I am helpful if someone is hurt, upset or feeling ill

Not True

Somewhat True

Certainly True

10. I am constantly fidgeting or squirming

Not True

Somewhat True

Certainly True

11. I have one good friend or more

Not True

Somewhat True

Certainly True

12. I fight a lot. I can make other people do what I want

Not True

Somewhat True

Certainly True

13. I am often unhappy, down-hearted or tearful

Not True

Somewhat True

Certainly True

14. Other people my age generally like me

Not True

Somewhat True

Certainly True

15. I am easily distracted, I find it difficult to concentrate

Not True

Somewhat True

Certainly True

16. I am nervous in new situations. I easily lose confidence

Not True

Somewhat True

Certainly True

17. I am kind to younger children

Not True

Somewhat True

Certainly True

18. I am often accused of lying or cheating

Not True

Somewhat True

Certainly True

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

Not True

Somewhat True

Certainly True

20. I often volunteer to help others (parents, teachers, children)

Not True

Somewhat True

Certainly True

21. I think before I do things

Not True

Somewhat True

Certainly True

22. I take things that are not mine from home, school or elsewhere

Not True

Somewhat True

Certainly True

23. I get on better with adults than with people my own age

Not True

Somewhat True

Certainly True

24. I have many fears, I am easily scared

Not True

Somewhat True

Certainly True

25. I finish the work I'm doing. My attention is good

Not True

Somewhat True

Certainly True