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