DIRECTIONS: Please circle the response that best describes your child/adolescent’s behavior when he/she is feeling mad. 1. My child does things like slam doors when Hardly Ever Sometimes Often he/she is mad. 1 2 3 2. My child attacks whatever it is that makes Hardly Ever Sometimes Often him/her very angry. 1 2 3 3. My child says mean things to others when Hardly Ever Sometimes Often he/she is mad. 1 2 3 DIRECTIONS: Please circle the response that best describes your child/adolescent’s behavior when he/she is feeling sad. 1. My child whines/fusses about what’s making Hardly Ever Sometimes Often him/her sad. 1 2 3 2. My child cries and carries on when he/she is Hardly Ever Sometimes sad. 1 2 3 3. My child does things like mope around when Hardly Ever Sometimes Often he/she is sad. 1 2 3 Please circle the response that best describes your child/adolescent’s behavior DIRECTIONS: when he/she is feeling worried. 1. My child does things like cry and carry on Hardly Ever Sometimes Often when he/she is worried. 1 2 3 2. My child keeps whining about how worried Hardly Ever Sometimes he/she is. 1 2 3 3. My can’t stop him/herself from acting Hardly Ever Sometimes Often really worried 1 2 3
DIRECTIONS: Please circle the response that best describes your child/adolescent’s behavior when he/she is feeling mad. 1. My child does things like slam doors when he/she is mad. Hardly Ever 1 Sometimes 2 Often 3 2. My child attacks whatever it is that makes him/her very angry. Hardly Ever 1 Sometimes 2 Often 3 3. My child says mean things to others when he/she is mad. Hardly Ever 1 Sometimes 2 Often 3 DIRECTIONS: Please circle the response that best describes your child/adolescent’s behavior when he/she is feeling sad. 1. My child whines/fusses about what’s making him/her sad. Hardly Ever 1 Sometimes 2 Often 3 2. My child cries and carries on when he/she is sad. Hardly Ever 1 Sometimes 2 3 3. My child does things like mope around when he/she is sad. Hardly Ever 1 Sometimes 2 Often 3 DIRECTIONS: Please circle the response that best describes your child/adolescent’s behavior when he/she is feeling worried. 1. My child does things like cry and carry on when he/she is worried. Hardly Ever 1 Sometimes 2 Often 3 2. My child keeps whining about how worried he/she is. Hardly Ever 1 Sometimes 2 3 3. My can’t stop him/herself from acting really worried Hardly Ever 1 Sometimes 2 Often 3
CEMS-Parent_Items_Eng.docx