PEDIATRIC SYMPTOM CHECKLIST-17 (PSC-17)
Emotional and physical health go together in children. Because parents are often the first to notice a problem withtheir child’s behavior, emotions, or learning, you may help your child get the best care possible by answering thesequestions. Please indicate which statement best describes your child.
1. Fidgety, unable to sit still
*
Never
Sometimes
Often
2. Feels sad, unhappy
*
Never
Sometimes
Often
3. Daydreams too much
*
Never
Sometimes
Often
4. Refuses to share
*
Never
Sometimes
Often
5. Does not understand other people’s feelings
*
Never
Sometimes
Often
6. Feels hopeless
*
Never
Sometimes
Often
7. Has trouble concentrating
*
Never
Sometimes
Often
8. Fights with other children
*
Never
Sometimes
Often
9. Is down on him or herself
*
Never
Sometimes
Often
10. Blames others for his or her troubles
*
Never
Sometimes
Often
11. Seems to be having less fun
*
Never
Sometimes
Often
12. Does not listen to rules
*
Never
Sometimes
Often
13. Acts as if driven by a motor
*
Never
Sometimes
Often
14. Teases others
*
Never
Sometimes
Often
15. Worries a lot
*
Never
Sometimes
Often
16. Takes things that do not belong to him or her
*
Never
Sometimes
Often
17. Distracted easily
*
Never
Sometimes
Often
Internalizing
Externalizing
Attention
Total Problem
Internalizing scale
Externalizing Scale
Attention scale
total Scale
Submit
Should be Empty: