CDE Detailed Report

Disease: content
Subdomain Name: Psychiatric and Psychological Status
CRF: welcome

Displaying 1 - 50 of 167
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C52233 Child Behavior Checklist (CBCL) - Plays with own sex parts in public scale CBCLPlayWthGenitalsInPublicScl Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) Scale for whether the child plays with their own sex parts in public, as part of the Child Behavior Checklist (CBCL) Plays with own sex parts in public 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 14:43:29.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52053 Child Behavior Checklist (CBCL) - Doesn?t eat well scale CBCLNoEatWellScl Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) Scale for whether the child doesn't eat well, as part of the Child Behavior Checklist (CBCL) Doesn't eat well 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ Pediatric Supplemental 1.00 2016-12-21 11:35:34.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52265 Child Behavior Checklist (CBCL) - Restless hyperactive scale CBCLRestlessHyperactivScl Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) Scale for whether the child cant sit still, restless, or hyperactive, as part of the Child Behavior Checklist (CBCL) Can't sit still, restless, or hyperactive 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-23 11:09:14.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52119 Child Behavior Checklist (CBCL) - Arithmetic or Math academic standing scale CBCLMathAcademicStandScl Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) Scale for how well the child is doing academically in Arithmetic or Math, as part of the Child Behavior Checklist (CBCL) Check a box for each subject that child takes: Arithmetic or Math Above Average;Average;Below Average;Failing Above Average;Average;Below Average;Failing Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 11:52:41.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52297 Child Behavior Checklist (CBCL) - Talk kill self scale CBCLTlkKillSlfScl Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) Scale for whether the child talks about killing self, as part of the Child Behavior Checklist (CBCL) Talks about killing self 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 11:42:22.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52317 Child Behavior Checklist (CBCL) - Worry scale CBCLWorryScl Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) Scale for whether the child worries, as part of the Child Behavior Checklist (CBCL) Worries 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 13:19:50.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52244 Child Behavior Checklist (CBCL) - Breaks rules at home, school, or elsewhere scale CBCLBreaksRulesScl Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) Scale for whether the child breaks rules at home, school, or elsewhere, as part of the Child Behavior Checklist (CBCL) Breaks rules at home, school, or elsewhere 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 16:16:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52085 Child Behavior Checklist (CBCL) - Fails to finish things they start scale CBCLFailFinishThingStartScl Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) Scale for whether the child fails to finish things they start, as part of the Child Behavior Checklist (CBCL) Fails to finish things he/she starts 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. <br />Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-21 12:39:02.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52276 Child Behavior Checklist (CBCL) - Secretive keep thing self scale CBCLScrtvKpThSlfScl Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is secretive, keeps things to self, as part of the Child Behavior Checklist (CBCL) Secretive, keeps things to self 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-27 09:06:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52161 Child Behavior Checklist (CBCL) - Nausea feel sick scale CBCLNauseaFeelSickScl Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has nausea, feels sick, without known medical cause, as part of the Child Behavior Checklist (CBCL) Physical problems without known medical cause: Nausea, feels sick 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 12:57:12.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52308 Child Behavior Checklist (CBCL) - Unhappy sad depressed scale CBCLUnhppySdDepScl Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) Scale for whether the child isunhappy, sad or depressed, as part of the Child Behavior Checklist (CBCL) Unhappy, sad, or depressed 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 12:32:31.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52030 Child Behavior Checklist (CBCL) - Externalizing problems broad band t-score CBCLExternalizProbBrdBndTScore t-score for the total number of items answered in the externalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) t-score for the total number of items answered in the externalizing problems broad band, as a part of the Child Behavior Checklist (CBCL) Externalizing problems T-Score Numeric Values Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ Pediatric Supplemental 1.00 2016-12-20 15:25:05.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Free-Form Entry

49 100
C52255 Child Behavior Checklist (CBCL) - Complains of loneliness scale CBCLComplainOfLonelinessScl Scale for whether the child complains of loneliness, as part of the Child Behavior Checklist (CBCL) Scale for whether the child complains of loneliness, as part of the Child Behavior Checklist (CBCL) Complains of loneliness 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 17:16:55.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52096 Child Behavior Checklist (CBCL) - Rashes or other skin problems scale CBCLRashSkinProbScl Scale for whether the child has rashes or other skin problems without known medical cause, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has rashes or other skin problems without known medical cause, as part of the Child Behavior Checklist (CBCL) Physical problems without known medical cause: Rashes or other skin problems 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-21 16:31:13.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52287 Child Behavior Checklist (CBCL) - Steals at home scale CBCLStlAtHmeScl Scale for whether the child steals at home, as part of the Child Behavior Checklist (CBCL) Scale for whether the child steals at home, as part of the Child Behavior Checklist (CBCL) Steals at home 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-27 10:38:07.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52209 Child Behavior Checklist (CBCL) - Aches or pains scale CBCLAchesPainsScl Scale for whether the child has aches or pains (not stomach or headaches) without known medical cause, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has aches or pains (not stomach or headaches) without known medical cause, as part of the Child Behavior Checklist (CBCL) Physical problems without known medical cause: Aches or pains (not stomach or headaches) 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 14:07:23.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52234 Child Behavior Checklist (CBCL) - Overeating scale CBCLOvereatingScl Scale for whether the child overeats, as part of the Child Behavior Checklist (CBCL) Scale for whether the child overeats, as part of the Child Behavior Checklist (CBCL) Overeating 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 14:47:35.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52056 Child Behavior Checklist (CBCL) - Feels worthless or inferior scale CBCLFeelsWorthlessScl Scale for whether the child feels worthless or inferior, as part of the Child Behavior Checklist (CBCL) Scale for whether the child feels worthless or inferior, as part of the Child Behavior Checklist (CBCL) Feels worthless or inferior 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-21 11:40:35.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52266 Child Behavior Checklist (CBCL) - Demands a lot of attention scale CBCLDemandALotOfAttentionScl Scale for whether the child demands a lot of attention, as part of the Child Behavior Checklist (CBCL) Scale for whether the child demands a lot of attention, as part of the Child Behavior Checklist (CBCL) Demands a lot of attention 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-23 11:12:42.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52124 Child Behavior Checklist (CBCL) - Oppositional problems DSM oriented scale score CBCLOppDefProbDSMSclScore Score for the total number of items answered in oppositional problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Score for the total number of items answered in oppositional problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Oppositional problems DSM oriented scale score Numeric Values

Sum of Q3,Q22,Q23,Q86,Q95

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 11:57:25.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Free-Form Entry

0 10
C52298 Child Behavior Checklist (CBCL) - Talk walk sleep scale CBCLTlkWalkSlpScl Scale for whether the child talks or walks in his/her sleep, as part of the Child Behavior Checklist (CBCL) Scale for whether the child talks or walks in his/her sleep, as part of the Child Behavior Checklist (CBCL) Talks or walks in sleep (describe): 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 11:46:27.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52245 Child Behavior Checklist (CBCL) - Physically attacks people scale CBCLPhysicallyAttackPeopleScl Scale for whether the child physically attacks people, as part of the Child Behavior Checklist (CBCL) Scale for whether the child physically attacks people, as part of the Child Behavior Checklist (CBCL) Physically attacks people 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 16:20:27.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52086 Child Behavior Checklist (CBCL) - Disobedient at home scale CBCLDisobedientAtHomeScl Scale for whether the child is disobedient at home, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is disobedient at home, as part of the Child Behavior Checklist (CBCL) Disobedient at home 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-21 12:54:33.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52277 Child Behavior Checklist (CBCL) - Sees things not there scale CBCLSeeThgNotThrScl Scale for whether the child sees things that aren't there, as part of the Child Behavior Checklist (CBCL) Scale for whether the child sees things that aren't there, as part of the Child Behavior Checklist (CBCL) Sees things that aren't there (describe): 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 09:10:20.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52164 Child Behavior Checklist (CBCL) - Plays with own sex parts too much scale CBCLPlayWthGenitalsTooMuchScl Scale for whether the child plays with their own sex parts too much, as part of the Child Behavior Checklist (CBCL) Scale for whether the child plays with their own sex parts too much, as part of the Child Behavior Checklist (CBCL) Plays with own sex parts too much 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 12:59:52.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52309 Child Behavior Checklist (CBCL) - Unusually loud scale CBCLUnslLdScl Scale for whether the child is unsually loud, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is unsually loud, as part of the Child Behavior Checklist (CBCL) Unusually loud 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 12:37:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52031 Child Behavior Checklist (CBCL) - Affective problems DSM oriented scale score CBCLAffctProbDSMSclScore Score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Score for the total number of items answered in affective problems DSM oriented scale, as a part of the Child Behavior Checklist (CBCL) Affective problems DSM oriented scale score Numeric Values

Sum of Q5,Q14,Q18,Q24,Q35,Q52,Q54,Q76,Q77,Q91,Q100,Q102,Q103

Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Http://www.aseba.org/ Pediatric Supplemental 1.00 2016-12-20 15:28:31.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Free-Form Entry

0 26
C52256 Child Behavior Checklist (CBCL) - Repeats certain acts over and over, compulsions scale CBCLRepeatActsCompulsionsScl Scale for whether the child repeats certain acts over and over, compulsions, as part of the Child Behavior Checklist (CBCL) Scale for whether the child repeats certain acts over and over, compulsions, as part of the Child Behavior Checklist (CBCL) Repeats certain acts over and over; compulsions (describe) 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric 1.00 2016-12-22 17:19:39.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52100 Child Behavior Checklist (CBCL) - Reading, English, or Language Arts academic standing scale CBCLEnglishAcademicStandScl Scale for how well the child is doing academically in Reading, English, or Language Arts, as part of the Child Behavior Checklist (CBCL) Scale for how well the child is doing academically in Reading, English, or Language Arts, as part of the Child Behavior Checklist (CBCL) Check a box for each subject that child takes: Reading, English, or Language Arts Above Average;Average;Below Average;Failing Above Average;Average;Below Average;Failing Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric 1.00 2016-12-22 10:24:23.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52288 Child Behavior Checklist (CBCL) - Steals outside home scale CBCLStlOutHmeScl Scale for whether the child steals outside the home, as part of the Child Behavior Checklist (CBCL) Scale for whether the child steals outside the home, as part of the Child Behavior Checklist (CBCL) Steals outside the home 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-27 10:40:44.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52212 Child Behavior Checklist (CBCL) - Trouble sleeping description text CBCLTroubleSleepTxt description text of the child's trouble sleeping, as part of the Child Behavior Checklist (CBCL) description text of the child's trouble sleeping, as part of the Child Behavior Checklist (CBCL) Trouble sleeping (describe): Alphanumeric

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 14:10:36.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points 255

Free-Form Entry

C52235 Child Behavior Checklist (CBCL) - Nightmares scale CBCLNightmaresScl Scale for whether the child has nightmares, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has nightmares, as part of the Child Behavior Checklist (CBCL) Nightmares 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-22 14:52:04.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52059 Child Behavior Checklist (CBCL) - Daydreams or gets lost in their thoughts scale CBCLDaydreamLostInThoughtScl Scale for whether the child daydreams or gets lost in their thoughts, as part of the Child Behavior Checklist (CBCL) Scale for whether the child daydreams or gets lost in their thoughts, as part of the Child Behavior Checklist (CBCL) Daydreams or gets lost in his/her thoughts 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-21 11:44:21.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52267 Child Behavior Checklist (CBCL) - Repeated a grade reason description text CBCLRepeatedGradeReasonTxt description text of the grades the child had to repeat, as part of the Child Behavior Checklist (CBCL) description text of the grades the child had to repeat, as part of the Child Behavior Checklist (CBCL) Has your child repeated any grades? Yes- grades and reasons: Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-23 11:14:56.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points 255

Free-Form Entry

C52128 Child Behavior Checklist (CBCL) - Receives special education or attends a special school indicator CBCLReceiveSpecialEdInd Indicator that the child receives special education or remedial services or attends a special class or special school, as part of the Child Behavior Checklist (CBCL) Indicator that the child receives special education or remedial services or attends a special class or special school, as part of the Child Behavior Checklist (CBCL) Does your child receive special education or remedial services or attend a special class or special school? (describe) No;Yes No;Yes Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 12:01:24.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52299 Child Behavior Checklist (CBCL) - Talks too much scale CBCLTlkTooMchScl Scale for whether the child talks too much, as part of the Child Behavior Checklist (CBCL) Scale for whether the child talks too much, as part of the Child Behavior Checklist (CBCL) Talks too much 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 11:51:50.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52246 Child Behavior Checklist (CBCL) - Gets along with brothers and sisters scale CBCLGetsAlongWithBroSisScl Scale for how well the child gets along with their brothers and sisters, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Scale for how well the child gets along with their brothers and sisters, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Compared to others of his/her age, how well does your child get along with his/her brother and sisters? Average;Better;Worse Average;Better;Worse Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 16:22:58.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52087 Child Behavior Checklist (CBCL) - Ability to do job or chore scale CBCLAbilityDoJobChoreScl Scale for how well the child carries out their job or chores, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Scale for how well the child carries out their job or chores, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Compared to others of the same age, how well does he/she carry them out? Below Average;Average;Above Average;Don't know Below Average;Average;Above Average;Don't know Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-21 13:01:18.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52278 Child Behavior Checklist (CBCL) - Self conscious easily embarrassed scale CBCLSlfCnsEslyEmbScl Scale for whether the child is self-conscious or easily embarrassed, as part of the Child Behavior Checklist (CBCL) Scale for whether the child is self-conscious or easily embarrassed, as part of the Child Behavior Checklist (CBCL) Self-conscious or easily embarrassed 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 09:21:17.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52169 Child Behavior Checklist (CBCL) - Plays and works alone scale CBCLPlayWorkAloneScl Scale for how well the child plays and works alone, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Scale for how well the child plays and works alone, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Compared to others of his/her age, how well does your child play and work alone? Average;Better;Worse Average;Better;Worse Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 13:02:21.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52310 Child Behavior Checklist (CBCL) - Use drug nonmedical purpose scale CBCLUsDrgNonMdPrpScl Scale for whether the child uses drugs for nonmedical purposes, as part of the Child Behavior Checklist (CBCL) Scale for whether the child uses drugs for nonmedical purposes, as part of the Child Behavior Checklist (CBCL) Uses drugs for nonmedical purposes (don't include alcohol or tobacco) (describe): 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-27 12:40:00.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52032 Child Behavior Checklist (CBCL) - Acts too young for their age scale CBCLActTooYoungScl Child Behavior Checklist (CBCL) - Acts too young for their age scale Scale for whether the child can't stand waiting, wants everything now, as part of the Child Behavior Checklist (CBCL) Acts too young for his/her age 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Pediatric Supplemental 1.00 2016-12-20 15:31:16.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52257 Child Behavior Checklist (CBCL) - Favorite hobbies, activities, or games description text CBCLFavHobbyActGameDescTxt description text of the child's favorite hobbies, activities, and games, other than sports, as part of the Child Behavior Checklist (CBCL) description text of the child's favorite hobbies, activities, and games, other than sports, as part of the Child Behavior Checklist (CBCL) text of the child's favorite hobbies, activities, and games, other than sports Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-23 10:34:11.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points 255

Free-Form Entry

C52101 Child Behavior Checklist (CBCL) - Academic or other problems in school indicator CBCLProbInSchoolInd Indicator that the child had academic or other problems in school, as part of the Child Behavior Checklist (CBCL) Indicator that the child had academic or other problems in school, as part of the Child Behavior Checklist (CBCL) Has your child had any academic or other problems in school? (describe) No;Yes No;Yes Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 10:34:36.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52289 Child Behavior Checklist (CBCL) - Stores up many things scale CBCLStrUpMnyThngScl Scale for whether the child stores up too many things he/she doesn't need, as part of the Child Behavior Checklist (CBCL) Scale for whether the child stores up too many things he/she doesn't need, as part of the Child Behavior Checklist (CBCL) Stores up too many things he/she doesn't need (describe): 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-27 10:43:23.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52214 Child Behavior Checklist (CBCL) - Behaves with parents scale CBCLBehaveWithParentScl Scale for how well the child behaves with their parents, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Scale for how well the child behaves with their parents, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Compared to others of his/her age, how well does your child behave with his/her parents? Average;Better;Worse Average;Better;Worse Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 14:15:33.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52236 Child Behavior Checklist (CBCL) - Bowel movements outside toilet scale CBCLBowelOutsideToiletScl Scale for whether the child has bowel movements outside toilet, as part of the Child Behavior Checklist (CBCL) Scale for whether the child has bowel movements outside toilet, as part of the Child Behavior Checklist (CBCL) Bowel movements outside toilet 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 14:54:25.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52062 Child Behavior Checklist (CBCL) - Doesn?t get along with other kids scale CBCLNoGetAlongOthrKidsScl Scale for whether the child doesnt get along with other kids, as part of the Child Behavior Checklist (CBCL) Scale for whether the child doesnt get along with other kids, as part of the Child Behavior Checklist (CBCL) Doesn't get along with other kids 0;1;2 Not True (as far as you know);Somewhat or Sometimes True;Very True or Often True Numeric Values

Below is a list of items that describe children and youths. For each item that describes your child now or within the past 6 months, please circle the 2 if the item is very true or often true of your child. Circle the 1 if the item is somewhat or sometimes true of your child. If the item is not true of your child, circle the 0. Please answer all items as well as you can, even if some do not seem to apply to your child.

"Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry. http://www.aseba.org/" Pediatric Supplemental 1.00 2016-12-21 11:47:51.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

C52268 Child Behavior Checklist (CBCL) - Job or chore description text CBCLJobChoreDescTxt description text of the jobs or chores the child has, as part of the Child Behavior Checklist (CBCL) description text of the jobs or chores the child has, as part of the Child Behavior Checklist (CBCL) text of the jobs or chores the child has Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-23 11:18:23.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points 4000

Free-Form Entry

C52132 Child Behavior Checklist (CBCL) - Ability to do favorite hobby, activity, or game scale CBCLAbilityDoHobbyActGameScl Scale for how well the child does their favorite hobbies, activities, and games, other than sports, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Scale for how well the child does their favorite hobbies, activities, and games, other than sports, compared to others of the same age, as part of the Child Behavior Checklist (CBCL) Compared to others of the same age, how well does he/she do each one? Above Average;Average;Below Average;Failing Above Average;Average;Below Average;Failing Alphanumeric "Achenbach, T. (1991). Manual for the Child Behavior Checklist/4 - 18 and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry. Achenbach, T. (1992). Manual for the Child Behavior Checklist/2-3 and 1992 Profile. Burlington, VT: University of Vermont Department of Psychiatry." Pediatric Supplemental 1.00 2016-12-22 12:07:38.0 Child Behavior Checklist (CBCL) Problem Behaviors subscale Psychiatric and Psychological Status Outcomes and End Points

Single Pre-Defined Value Selected

CSV