Behaviour Questionnaire

Childhood Behaviour Assessment (Ages 7-12)

Parent Report - For Parent or Guardian

📧 How to Submit Your Results

After completing this questionnaire, you'll be able to:

Note: Your child will then forward your results to their clinician.

Important Notice:
This questionnaire is for information gathering purposes only and is not diagnostic. The responses you provide will be reviewed by a clinician as part of a comprehensive clinical assessment. Only a qualified healthcare professional can make diagnostic or treatment decisions. Please answer honestly based on your actual memories.
Privacy: All data is processed locally on your device. Nothing is sent anywhere until you choose to download and share your results file with your clinician.
Instructions for Parent: You have been asked to complete this questionnaire about your child's behaviour when they were between 7 and 12 years of age.
📝 Answering Questions: You may leave questions blank if you're unsure or they don't apply. Don't guess - skipped items will be excluded from score calculations. However, try to answer as many as you can for accurate results.
0 of 26 items answered (26 skipped) (0%)

Information

Childhood Behaviour (Ages 7-12)

Rate your child's behaviour when they were between 7 and 12 years of age
0 = Never/rarely 1 = Sometimes 2 = Often 3 = Very often (several times per hour/day)

Impact on Daily Life (Ages 7-12)

To what extent did these behaviours interfere with your child's functioning between ages 7-12?

0 = Never/rarely 1 = Sometimes 2 = Often 3 = Very often (several times per hour/day)