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