“Not True or Hardly Ever True” or “Somewhat True or Sometimes True” or “Very True or Often
True” for your child. Then, for each statement, fill in one circle that corresponds to the
response that seems to describe your child for the last 3 months. Please respond to all
statements as well as you can, even if some do not seem to concern your child.
After you have got the results, please print off the page and bring it to your initial session
with Dr. Lish.