PSC-17 Caregiver Completed (4-17 years)
    INSTRUCTIONS

    This form asks questions about your child’s behaviors. These behaviors may be true for every child at sometime in his or her life. Please read each question carefully and check off the box for the response that you believe is most true for your child during the past 6 MONTHS.

    1. NeverSometimesOften

    2. NeverSometimesOften

    3. NeverSometimesOften

    4. NeverSometimesOften

    5. NeverSometimesOften

    6. NeverSometimesOften

    7. NeverSometimesOften

    8. NeverSometimesOften

    9. NeverSometimesOften

    10. NeverSometimesOften

    11. NeverSometimesOften

    12. NeverSometimesOften

    13. NeverSometimesOften

    14. NeverSometimesOften

    15. NeverSometimesOften

    16. NeverSometimesOften

    17. NeverSometimesOften

    * Required