Pediatric Symptom Checklist-17 (PSC-17)

Please mark under the heading that best fits your child

	NEVER	SOME- TIMES	OFTEN
Fidgety, unable to sit still
Feels sad, unhappy
Daydreams too much
Refuses to share
Does not understand other people’s feelings
Feels hopeless
Has trouble concentrating
Fights with other children
Is down on him or herself
Blames others for his or her troubles
Seems to be having less fun
Does not listen to rules
Acts as if driven by a motor
Teases others
Worries a lot
Takes things that do not belong to him or her
Distracted easily
(scoring totals)

The PSC-17 can help primary care providers assess the likelihood of finding any mental health disorder in their patient. The brief and easy to score PSC-17 has fairly good mental health screening characteristics, even when compared with much longer instruments like the CBCL (Child Behavior Checklist by T. Achenbach)
Should be Empty: