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Selective Mutism Questionnaire (SMS)
Please consider your children behavior in the last two weeks and rate how
frequently each statement is true for your child.
AT SCHOOL
1. When appropriate, my child
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How to fill out selective mutism questionnaire

How to fill out a selective mutism questionnaire:
01
Read the instructions: Start by carefully reading the instructions provided with the questionnaire. This will give you an understanding of the purpose of the questionnaire and the specific details you need to provide.
02
Provide personal information: The questionnaire may require you to enter personal information such as your name, age, gender, and contact details. Make sure to fill out this information accurately and clearly.
03
Answer questions about selective mutism symptoms: The questionnaire will likely contain a series of questions related to selective mutism symptoms. These questions may inquire about the frequency and severity of certain behaviors, communication difficulties, and anxiety-related symptoms. Answer each question honestly and to the best of your knowledge or the knowledge of the individual you are filling it out for.
04
Include relevant medical history: The selective mutism questionnaire may also ask about any previous diagnoses, medications, or therapies related to mental health or communication disorders. If applicable, provide this information accurately to provide a comprehensive understanding of the individual's background.
05
Seek assistance if needed: If you are filling out the questionnaire on behalf of someone else, be sure to involve them in the process as much as possible. Their insights and input can offer valuable information for a more accurate assessment. Additionally, if you are unsure about any question or need clarification, don't hesitate to reach out to a healthcare professional for assistance.
Who needs a selective mutism questionnaire:
01
Individuals with suspected or diagnosed selective mutism: Selective mutism questionnaires are typically used to evaluate individuals who display symptoms suggestive of selective mutism. These questionnaires can help assess the severity and impact of the condition and guide the development of effective treatment plans.
02
Parents or caregivers: Parents or caregivers of children who exhibit signs of selective mutism may also be asked to fill out a questionnaire. This helps healthcare professionals gather comprehensive information about the child's behavior in different settings and enhances the accuracy of the assessment.
03
Educators and school staff: As selective mutism can significantly affect a child's performance and participation in educational settings, questionnaires may also be given to educators or school staff. Their input can provide valuable insights into the child's behavior and communication patterns at school, facilitating better support and accommodations.
Overall, selective mutism questionnaires are instrumental in identifying and understanding the challenges faced by individuals with selective mutism. By accurately filling out the questionnaire, individuals, parents, caregivers, and professionals can contribute to a more thorough evaluation and assist in formulating appropriate interventions and treatment approaches.
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What is selective mutism questionnaire?
Selective mutism questionnaire is a tool used to assess and evaluate the symptoms and severity of selective mutism in individuals.
Who is required to file selective mutism questionnaire?
Selective mutism questionnaire is typically completed by mental health professionals, educators, or parents to provide information about a person's symptoms and behaviors.
How to fill out selective mutism questionnaire?
To fill out a selective mutism questionnaire, individuals should carefully read and answer each question based on their observations and experiences.
What is the purpose of selective mutism questionnaire?
The purpose of the selective mutism questionnaire is to gather information about the presence and impact of selective mutism symptoms in an individual.
What information must be reported on selective mutism questionnaire?
Information about the individual's behavior in various social situations, communication difficulties, and anxiety levels are typically reported on a selective mutism questionnaire.
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