These questions are about your child's behavior. Think about what you would expect of other children the same age, and tell us how much each statement applies to your child.

1. Does your child have a hard time being with new people? Not at allSomewhatVery Much

2. Does your child have a hard time in new places? Not at allSomewhatVery Much

3. Does your child have a hard time with change? Not at allSomewhatVery Much

4. Does your child mind being held by other people? Not at allSomewhatVery Much

5. Does your child cry a lot? Not at allSomewhatVery Much

6. Does your child have a hard time calming down? Not at allSomewhatVery Much

7. Is your child fussy or irritable? Not at allSomewhatVery Much

8. Is it hard to comfort your child? Not at allSomewhatVery Much

9. Is it hard to keep your child on a schedule or routine? Not at allSomewhatVery Much

10. Is it hard to put your child to sleep? Not at allSomewhatVery Much

11. Is it hard to get enough sleep because of your child? Not at allSomewhatVery Much

12. Does your child have trouble staying asleep? Not at allSomewhatVery Much