Asperger & ADHD ADHD Major
CBCL/1½-5 & C-TRF Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
1. Aches or pains (without medical cause;
do not include stomach or headaches)
2. Acts too young for age
3. Afraid to try new things
4. Avoids looking others in the eye
5. Can't concentrate, can't pay attention for long
6. Can't sit still, restless, or hyperactive
7. Can't stand having things out of place
8. Can't stand waiting; wants everything now
9. Chews on things that aren't edible
10. Clings to adults or too dependent
11. Constantly seeks help
12. Constipated, doesn't move bowels (when not sick)
13. Cries a lot
14. Cruel to animals
15. Defiant
16. Demands must be met immediately
17. Destroys his/her own things
18. Destroys things belonging to his/her family
19. Diarrhea or loose bowels (when not sick)
20. Disobedient
21. Disturbed by any change in routine
22. Doesn't want to sleep alone
23. Doesn't answer when people talk to him/her
Asperger & ADHD ADHD Major
CBCL/1½-5 & C-TRF Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
24. Doesn't eat well (describe):
25. Doesn't get along with other kids
26. Doesn't know how to have fun, acts like a little adult
27. Doesn't seem to feel guilty after misbehaving
28. Doesn't want to go out of home
29. Easily frustrated
30. Easily jealous
31. Eats or drinks things that are not food ---
do not include sweets (describe):
32. Fears certain animals, situations, or places (describe):
33. Feelings are easily hurt
34. Gets hurt a lot, accident-prone
35. Gets in many fights
36. Gets into everything
37. Gets too upset when separated from parents
38. Has trouble getting to sleep
39. Headaches (without medical cause)
40. Hits others
41. Holds his/her breath
42. Hurts animals or people without meaning to
43. Looks unhappy without good reason
44. Angry moods
45. Nausea, feels sick (without medical cause)




Asperger & ADHD ADHD Major
CBCL/1½-5 & C-TRF Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
46. Nervous movements or twitching (describe):
47. Nervous, highstrung, or tense
48. Nightmares
49. Overeating
50. Overtired
51. Shows panic for no good reason
52. Painful bowel movements (without medical cause)
53. Physically attacks people
54. Picks nose, skin, or other parts of body (describe):
55. Plays with own sex parts too much
56. Poorly coordinated or clumsy
57. Problems with eyes (without medical cause) (describe):
58. Punishment doesn't change his/her behavior
59. Quickly shifts from one activity to another
60. Rashes or other skin problems (without medical cause)
61. Refuses to eat
62. Refuses to play active games
63. Repeatedly rocks head or body
64. Resists going to bed at night
65. Resists toilet training (describe):
66. Screams a lot
67. Seems unresponsive to affection
68. Self-conscious or easily embarrassed


Asperger & ADHD ADHD Major
CBCL/1½-5 & C-TRF Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
69. Selfish or won't share
70. Shows little affection toward people
71. Shows little interest in things around him/her
72. Shows too little fear of getting hurt
73. Too shy or timid
74. Sleeps less than most children during day and/or night
(describe):
75. Smears or plays with bowel movements
76. Speech problem (describe):
77. Stares into space or seems preoccupied
78. Stomachaches or cramps (without medical cause)
79. Rapid shifts between sadness and excitement
80. Strange behavior (describe):
81. Stubborn, sullen, or irritable
82. Sudden changes in mood or feelings
83. Sulks a lot
84. Talks or cries out in sleep
85. Temper tantrums or hot temper
86. Too concerned with neatness or cleanliness
87. Too fear ful or anxious
88. Uncooperative
89. Underactive, slow moving, or lacks energy




Asperger & ADHD ADHD Major
Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
90. Unhappy, sad, or depressed
91. Unusually loud
92. Upset by new people or situations (describe):
93. Vomiting, throwing up (without medical cause)
94. Wakes up often at night
95. Wanders away
96. Wants a lot of attention
97. Whining
98. Withdrawn, doesn't get involved with others
99. Worries




Asperger & ADHD ADHD Major
C-TRF only Autistic Inattentive Hyper.-Impuls. ODD GAD SAD Phobia Depress. Dysthym.
12. Apathetic or unmotivated
19. Daydreams or gets lost in his/her thoughts
22. Cruelty, bullying, or meanness to others
24. Difficulty following directions
28. Disturbs other children
38. Explosive and unpredictable behavior
48. Fails to carry out assigned tasks
49. Fears daycare or school
51. Fidgets
52. Gets teased by other children
64. Inattentive, easily distracted
65. Lying or cheating
74. Not liked by other children
75. Overactive
79. Overconforms to rules
84. Teases a lot
94. Unclean personal appearance


Please check to see that you have correctly entered 0, 1, or 2 for each problem in each column.



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