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PEDIATRIC SYMPTOM CHECKLIST17PEDS(PARENT FORM)
First Name:Last Name:Subject\'s Name:Today\'s Date://Directions: This instrument asks questions about your child\'s feelings, complaints, or behaviors.
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How to fill out pediatric symptom checklist-17
How to fill out the pediatric symptom checklist-17:
01
Start by putting the child's personal information at the top of the checklist. This includes their name, age, and date of birth.
02
The pediatric symptom checklist-17 consists of 17 different symptoms or behaviors that may be indicators of potential issues. Read each item carefully before responding.
03
For each symptom, there are four response options: "Not true (as far as you know)," "Somewhat or sometimes true," "Very true or often true," and "Doesn't apply." Choose the option that best describes the child's experience.
04
Take your time and answer each question honestly. This checklist is designed to help healthcare professionals assess the child's overall well-being and potential areas of concern.
05
If you are unsure or the symptom doesn't apply to the child, select the "Doesn't apply" option. It's important to provide accurate information to ensure an accurate assessment.
Who needs the pediatric symptom checklist-17:
01
Parents or caregivers: The pediatric symptom checklist-17 is a valuable tool for parents or caregivers to assess their child's behaviors and symptoms. It can provide insights into potential developmental, emotional, or behavioral concerns.
02
Healthcare professionals: Pediatricians, psychologists, and other healthcare professionals use the pediatric symptom checklist-17 as part of their assessment process. It helps them screen for potential issues and determine if further evaluation or intervention is necessary.
03
Educators: Teachers and school counselors may also find the pediatric symptom checklist-17 useful in identifying potential challenges that a child may be facing in the school environment. This can inform appropriate support and interventions.
Remember, the pediatric symptom checklist-17 should always be used in conjunction with a comprehensive evaluation and professional guidance to interpret the results accurately.
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What is pediatric symptom checklist-17?
Pediatric Symptom Checklist-17 is a screening tool used to assess a child's emotional and behavioral functioning.
Who is required to file pediatric symptom checklist-17?
Healthcare professionals, such as pediatricians, psychologists, or counselors, are typically required to administer and file the Pediatric Symptom Checklist-17.
How to fill out pediatric symptom checklist-17?
To fill out the Pediatric Symptom Checklist-17, the healthcare professional must ask the child or caregiver a series of questions related to the child's emotional and behavioral health. They must then score the responses to determine the child's level of risk.
What is the purpose of pediatric symptom checklist-17?
The purpose of the Pediatric Symptom Checklist-17 is to identify children who may be at risk for emotional or behavioral issues, so they can receive appropriate support and interventions.
What information must be reported on pediatric symptom checklist-17?
The Pediatric Symptom Checklist-17 requires information related to the child's emotional and behavioral health, including symptoms of anxiety, depression, and other behavioral issues.
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