Strengths & Difficulties Questionnaire

Personal Details Your Name *

Questions I try to be nice to other people. I care about their feelings * I am restless, I find it hard to sit down for long * I get a lot of headaches, stomach-aches or sickness * I usually share with others, for example food or drink * I get very angry and often lose my temper * I would rather be alone than with other people * I am generally willing to do what other people want * I worry a lot * I am helpful if someone is hurt, upset or feeling ill * I am constantly fidgeting or squirming * I have at least one good friend * I fight a lot. I can make other people do what I want * I am often unhappy, depressed or tearful * Other people generally like me * I am easily distracted. I find it difficult to concentrate * I am nervous in new situations. I easily lose confidence * I am kind to children * I am often accused of lying or cheating * Other people pick on me or bully me * I often offer to help others (family members, friends, colleagues) * I think before I do things * I take things that are not mine from home, work or elsewhere * I get along better with older people than with people of my own age * I have many fears, I am easily scared * I finish the work I'm doing. My attention is good *

Summary Overall, do you think that this person has difficulties in one or more of the following areas emotions, concentration, behaviour, or being able to get on with other people? * How long have these difficulties present? * Do the difficulties upset or distress the child? * Do the difficulties interfere with the people you are closest to * Do the difficulties interfere with making and keeping friends * Do the difficulties interfere with work or study * Do the difficulties make it harder for those around you *

Final Thoughts Do you have any other comments or concerns?