ID: Gender: F Date Filled: Clinician: Informant: Society: ASEBA Standard Verified: No Name: - Age: 15 Birth Date: Agency: Relationship: Internalizing Externalizing Printed by: LOCAL\alma 100 90 80 70 69 68 60 59 60 50 51 52 50 50 Anxious / Withdrawn / Somatic Thought Attention Rule-Breaking Aggressive Social Problems B = Borderline clinical range; C = Clinical range; Broken Lines = Borderline clinical range Printed by:
ID: Gender: F Date Filled: Clinician: Informant: Society: ASEBA Standard Name: - Age: 15 Birth Date: Agency: Relationship: Verified: No Internalizing 100 Printed by: LOCAL\alma Externalizing 90 80 70 60 59 50 69 68 51 60 52 50 50 Anxious / Withdrawn / Somatic Social Problems Thought Attention Rule-Breaking Aggressive B = Borderline clinical range; C = Clinical range; Broken Lines = Borderline clinical range Printed by:
CBCL-scoring-profile-with-narrative.docx