CFFH PANS/PANDAS Quiz

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1. Has your child suddenly started having severe obsessive thoughts or compulsive behaviors?* This field is required.For example, they may have suddenly started obsessively checking and rechecking, cleaning, repeating words or phrases, lining things up, or developing irrational fears.

YESNO

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2. Has your child suddenly started severely restricting their eating?* This field is required.For example, they may feel as if they will choke when they eat, complain that they cannot swallow certain foods or liquids, or be frightened of eating certain foods.

YESNO

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3. Does your child have severe anxiety?* This field is required.Examples are an extreme fear of death, fear they will harm others, or separation anxiety.

YESNO

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4. Does your child show sudden, explosive changes in their emotions?* This field is required.For example, they may throw tantrums or have emotional outbursts that don’t make sense.

YESNO

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5. Has your child’s behavior regressed?* This field is required.For example, they may use baby talk or play with toys made for younger age groups.

YESNO

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6. Has your child’s school performance changed or worsened?* This field is required.Examples include changes in their ability to read, write, do math, draw, or remember.

YESNO

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7. Does your child have any other new troubling symptoms?* This field is required.Examples might be frequent urination, trouble falling or staying asleep, early waking, bedwetting, or night terrors.

YesNO

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yes check for rest of questions

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yes check for first two questions

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