Child Behaviour Checklist
Confidential Child Behaviour Checklist Below is a list of items that describes young children and youth. For each item please select the appropriate response that describes your child within the past 6 months. Please answer all items as well as you can, even if some do not seem to apply to your child. Please be sure to answer all items. Not True (as far as you know) 1 Acts too young for his/her age 2 Drinks alcohol without parents' approval 2.1 Please describe the behaviour when your child drinks alcohol without parents' approval: 3 4 Argues a lot Fails to finish things he/she starts 5 There is very little he/she enjoys 6 Bowel movements outside toilet 7 Bragging, boasting 8 Can't concentrate, can't pay attention for long 9 Can't get his/her mind off certain thoughts; obsessions 9.1 Please describe the behaviour when your child can't get his/her mind off certain thoughts; obsessions: 10 Can't sit still, restless, or hyperactive 11 Clings to adults or too dependent 12 Complains of loneliness 13 Confused or seems to be in a fog 14 Cries a lot 15 Cruel to animals 16 Cruelty, bullying, or meanness to others 17 Daydreams or gets lost in her/her thoughts 18 Deliberately harms self or attempts suicide 19 Demands a lot of attention 20 Destroys his/her own things 21 Destroys things belonging to his/her family or others 22 Disobedient at home 23 Disobedient at school 24 Doesn't eat well Version: May 11, 2018 Page 1 of 5 Somewhat or Sometimes true Very True or Often True
Confidential Child Behaviour Checklist Not True (as far as you know) Somewhat or Sometimes true Very True or Often True 25 Doesn't get along with other kids 26 Doesn't seem to feel guilty after misbehaving 27 Easily jealous 28 Breaks rules at home, school, or elsewhere 29 Fears certain animals, situations, or places, other than school 29.1 Please describe the behaviour when your child fears certain animals, situations, or places, other than school: 30 Fears going to school 31 Fears he/she might think or do something bad 32 Feels he/she has to be perfect 33 Feels or complains that no one loves him/her 34 Feels others are out to get him/her 35 Feels worthless or inferior 36 Gets hurt a lot, accident-prone 37 Gets in many fights 38 Gets teased a lot 39 Hangs around with others who get in trouble 40 Hears sounds or voices that aren't there 40.1 Please describe the behaviour when your child hears sounds or voices that aren't there: 41 42 43 44 Impulsive or acts without thinking Would rather be alone that with others Lying or cheating Bites fingernails 45 Nervous, highstrung, or tense 46 Nervous movements or twitching 46.1 Please describe the behaviour when your child has nervous movements or twitching: 47 Nightmares 48 Not liked by other kids 49 Constipated, doesn't move bowels 50 Too fearful or anxious 51 Feels dizzy or lightheaded 52 Feels too guilty 53 Overeating 54 Overtired without good reason 55 Overweight Version: May 11, 2018 Page 2 of 5
Confidential Child Behaviour Checklist 56 Physical problems WITHOUT known medical cause Not True (as far as you know) Somewhat or Sometimes true Very True or Often True 56.1 Aches or pains (not stomach or headaches) 56.2 Headaches 56.3 Nausea, feels sick 56.4 Problems with eyes (if not corrected by glasses) 56.5 Rashes or other skin problems 56.6 Stomachaches 56.7 Vomiting, throwing up 56.8 Other 56.81 Please describe the other physical problem without known medical cause: Behaviour Not True (as far as you know) Somewhat or Sometimes true Very True or Often True 57 Physically attacks people 58 Picks nose, skin, or other parts of body 58.1 Please describe the behaviour when your child picks their nose, skin, or other parts of body: 59 60 61 62 63 64 65 66 Plays with own sex parts in public Plays with own sex parts too much Poor school work Poorly coordinated or clumsy Prefers being with older kids Prefers being with younger kids Refuses to talk Repeats certain acts over and over; compulsions 66.1 Please describe the behaviour when your child repeats certain acts over and over; compulsions: 67 Runs away from home 68 Screams a lot 69 Secretive, keeps things to self 70 Sees things that aren't there 70.1 Please describe the behaviour when your child sees things that aren't there: Version: May 11, 2018 Page 3 of 5
Confidential Child Behaviour Checklist Not True (as far as you know) Somewhat or Sometimes true Very True or Often True 71 Self-conscious or easily embarrassed 72 Sets fires 73 Sexual problems 74 75 76 77 73.1 Please describe the behaviour when your child has sexual problems: Showing off or clowning Too shy or timid Sleeps less than most kids Sleeps more than most kids during day and/or night 77.1 Please describe the behaviour when your child sleeps more than most kids during day and/or night 78 Inattentive or easily distracted 79 Speech problem 79.1 Please describe the behaviour when your child has a speech problem: 80 Stares blankly 81 Steals at home 82 Steals outside the home 83 Stores up too many things that he/she doesn't need 83.1 Please describe the behaviour when your child stores up too many things he/she doesn't need : 84 Strange behaviour 84.1 Please describe your child's strange behaviour: 85 Strange ideas 85.1 Please describe your child's strange ideas: 86 Stubborn, sullen, or irritable 87 Sudden changes in mood or feelings 88 Sulks a lot 89 90 91 92 Suspicious Swearing or obscene language Talks about killing self Talks or walks in sleep 92.1 Please describe the behaviour when your child talks or walks in sleep: Version: May 11, 2018 Page 4 of 5
Confidential Child Behaviour Checklist Not True (as far as you know) 93 94 95 96 97 98 99 100 Somewhat or Sometimes true Very True or Often True Talks too much Teases a lot Temper tantrum or hot temper Thinks about sex too much Threatens people Thumb-sucking Smokes, chews, or sniffs tobacco Trouble sleeping 100.1 Please describe the behaviour when your child has trouble sleeping: 101 Truancy, skips school 102 Underactive, slow moving, or lacks energy 103 Unhappy, sad, or depressed 104 Unusually loud 105 Uses drugs for nonmedical purposes (don't include alcohol or tobacco) 105.1 Please describe the behaviour when your child uses drugs for nonmedical purposes (don't include alcohol or tobacco): 106 Vandalism 107 108 109 110 111 Wets self during the day Wets the bed Whining Wishes to be opposite sex Withdrawn, doesn't get involved with others 112 Worries 113 Other 1: 114 Other 2: 115 Other 3: (Please write in any problems your child has that are not listed above) (Please write in any problems your child has that are not listed above) (Please write in any problems your child has that are not listed above.) 116 Staff code of interviewer (3 Digit Staff Code (888 if no interviewer)) 117 What is TODAY's date? / /20 (DD-MM-YYYY) Mother Father Study child Other caregiver CHILD Staff 118 Who completed this questionnaire? Checked by Date checked Page 5 of 5 (3 Digit Staff Code) / /20 (DD-MM-YYYY) Version: May 11, 2018
83.1 Please describe the behaviour when your child stores up too many things he/she doesn't need : 84 Strange behaviour 84.1 Please describe your child's strange behaviour: _ _ 79.1 Please describe the behaviour when your child has a 86 Stubborn, sullen, or irritable 87 Sudden changes in mood or feelings 88 Sulks a lot 89 Suspicious 85 .
out that behaviour comes about from an interaction of ‘capability’ to perform the behaviour and ‘opportunity’ and ‘motivation’ to carry out the behaviour. New behaviour or behaviour change requires a change in one or more of these. As COM-B is an overarching framework of behaviour, it can supplement the CBT model in PWP
Health-seeking behaviour practice is recognised as an essential tool to prevent the menace of hypertension. The association among health and human behaviour is a major area of interest in public health. Kasl and Cobb 1966 identified three types of health behaviour: preventive health behaviour, illness behaviour, and sick-role behaviour.
Care needed: (check all that apply) Child #1 Child #2 Child #3 Child #4 Child #5 Preferred Location (Zip Code other than home) Full day Part day Evenings Overnight Weekends Special Needs: Child #1 Child #2 Child #3 Child #4 Child #5 Limited English Child Protective Services Severely Handicapped
Manager Opening Checklist Line Check Prep Checklist Station Setup Bar Opening Checklist Closing Checklist Host Opening/Closing Checklist Multi‐unit Inspections Checklist Periodic Maintenance Checklist Permits & License Review Staff Reviews/Evaluations
The link between children‘s non-attendance and behaviour 78 Evidence from research 78. Playground behaviour – practical ideas 84 Playtime 84 Buddy schemes 85 . The more attention the teacher gives to a child‘s behaviour the more likely it is that that behaviour will be repeated. 8 Practical approaches to behaviour management in the .
Positive Behaviour Support (PBS) is an approach that is used to support behaviour change in a child or adult with a learning disability. Unlike traditional methods used, the focus is not on ‘fixing’ the person or on the challenging behaviour itself and never uses punishment as a strategy for dealing with challenging behaviour. .
Chemistry and Toxicology Checklist 07.11.2011 INTRODUCTION This Checklist is intended for comprehensive clinical chemistry testing, including blood gas analysis and toxicology. An inspection of a laboratory section, or department will include the discipline-specific checklist(s), the Laboratory General Checklist, and the All Common Checklist (COM).
A maximum rotation of the pile head of 0.5 is usually demanded. Regarding axially loaded piles an important question is how the axial ultimate pile capacity can be predicted with sufficient accuracy. The ß-method commonly used in offshore design (e.g. API, 2000) is known to either over-or underestimate pile capacities, dependent on the boundary
