Ontario Child Health Study - Parent or guardian self-complete questionnaire about the child (paper) - 2014
For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.
Table of Contents
Parent or guardian self-complete questionnaire about the child (PGQ)
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_R00
This study is being done with researchers at McMaster University in Hamilton with the purpose of collecting information on the health and well-being of children in Ontario. This study will ask about mental health disorders, access to mental health services, and the relationship between health, family, neighbourhood and school.
Your answers will be kept strictly confidential and used only for statistical purposes. While participation is voluntary, your cooperation is important to ensure that the information collected is as accurate and as comprehensive as possible.
Once finished with the questionnaire please return it to the interviewer enclosed in the envelope provided.
When you answer these questions, you can mark your answers like this X as in the example below.
Example 1
Q1: Planning family activities is difficult because we misunderstand each other.
X Strongly agree.
o Agree.
o Disagree.
o Strongly disagree.
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_R01
We'd like to ask you some general background questions about ________________.
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01A
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Can't concentrate, can't pay attention for long
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01B
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Can't sit still, restless or hyperactive
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01C
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Cries a lot
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01D
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Cruelty, bullying or meanness to others
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01E
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Cruelty to animals
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01F
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Deliberately harms self or attempts suicide
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01G
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Destroys his/her own things
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01H
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Destroys things belonging to his/her family or other children
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01I
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Disobedient at school
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01J
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Gets in many fights
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01K
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Impulsive or acts without thinking
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01L
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Lying or cheating
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01M
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Nervous, high-strung or tense
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01N
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Too fearful or anxious
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01O
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Physically attacks people
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01P
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Runs away from home
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01Q
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Sets fires
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01R
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Steals at home
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01S
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Steals outside the home
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01T
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Talks about killing self
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01U
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Threatens people
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01V
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Truancy, skips school
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01W
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Unhappy, sad or depressed
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01X
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Vandalism
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01Y
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Worrying
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01Z
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Not as happy as other children
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AA
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Distractible, has trouble sticking to any activity
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AB
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has trouble enjoying self
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AC
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has difficulty awaiting turn in games or groups
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AD
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Fidgets
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AE
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Afraid of being alone
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AF
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has been physically cruel to others
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AG
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Angry and resentful
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AH
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Anxious or on edge
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AI
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Can't stay seated when required to do so
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AJ
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Feels worthless or inferior
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AK
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Moody or irritable
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AL
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Doesn't like to be with people he/she doesn't know
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AM
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Gets no pleasure from usual activities
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AN
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Loses temper
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AO
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Fails to finish things he/she starts
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AP
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Complains of feeling sick before separating from loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AQ
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Uses weapons when fighting
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AR
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
When anxious, his/her mind goes blank
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AS
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Gets anxious about meeting new people
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AT
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has difficulty making decisions
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AU
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Blames others for own mistakes
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AV
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Overly upset when leaving loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AW
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Feels he/she has to be perfect
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AX
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Repeats certain actions over and over; compulsions
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AY
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Worries that something bad will cause separation from loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01AZ
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Changes in appetite
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BA
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Afraid of doing things in front of others
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BB
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Defiant, talks back to adults
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BC
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Too concerned with neatness or cleanliness
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BD
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Can't get his/her mind off certain thoughts, obsessions
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BE
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Argues a lot with adults
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BF
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Avoids school because of fear of separation from loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BG
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Trouble sleeping
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BH
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Worries about doing better at things
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BI
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Worries that bad things will happen to loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BJ
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Easily annoyed by others
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BK
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has mugged people
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BL
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Is nervous with people he/she doesn't know
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BM
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Scared to go to sleep without parents being near
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BN
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Avoids social situations
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BO
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has broken into someone else's house, building or car
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BP
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
When anxious, he/she has disturbed sleep
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BQ
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Gets back at people
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BR
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Shy or timid
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BS
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Afraid of making mistakes
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BT
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Has nightmares about being separated from loved ones
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BU
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Stays out at night despite being told not to
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BV
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Makes careless mistakes
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BW
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Finds it hard to stop worrying
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q01BX
Below is a list of statements that describe some of the feelings and behaviours of children. For each statement, please select the response that best describes your child now or within the past six months. You may only select one response.
Overtired or lacks energy
- 1: Never or not true
- 2: Sometimes or somewhat true
- 3: Often or very true
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q02A
The next questions are about the problems you marked above or any other problems of behaviour or feelings that the child might have had now or in the past six months. How much have these problems interfered with....
how well he/she gets along with you and the rest of the family?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q02B
The next questions are about the problems you marked above or any other problems of behaviour or feelings that the child might have had now or in the past six months. How much have these problems interfered with....
making and keeping friends?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q02C
The next questions are about the problems you marked above or any other problems of behaviour or feelings that the child might have had now or in the past six months. How much have these problems interfered with....
learning or school work?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q02D
The next questions are about the problems you marked above or any other problems of behaviour or feelings that the child might have had now or in the past six months. How much have these problems interfered with....
playing, hobbies, sports or other leisure activities?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03A
Now or in the past six months, to what extent have these problems...
caused you personal upset, distress or worry?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03B
Now or in the past six months, to what extent have these problems...
interfered with your work, recreational activities or socializing with relatives or friends?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03C
Now or in the past six months, to what extent have these problems...
led to bad feelings or relationships with neighbours?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03D
Now or in the past six months, to what extent have these problems...
put a burden on you or the family as a whole?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03E
Now or in the past six months, to what extent have these problems...
been a source of tension, disagreement or conflict with your spouse or partner?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
- 6: Not applicable
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q03F
Now or in the past six months, to what extent have these problems...
led to major arguments or disputes with your spouse or partner about how to deal with these problems?
- 1: Not at all
- 2: A little
- 3: Somewhat
- 4: A lot
- 5: A great deal
- 6: Not applicable
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04A
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I enjoy doing things with him/her.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04B
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I cheer him/her up when he/she is sad.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04C
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I give him/her a lot of care and attention.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04D
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I listen to his/her ideas and opinions.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04E
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I speak of the good things he/she does.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04F
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I nag him/her about little things.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04G
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I get angry and yell at him/her.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04H
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I threaten punishment more often than I use it.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04I
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
Whether I keep or do not keep a rule depends on my mood.
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q04J
Please read each statement below and mark the circle that most closely describes the way you have acted towards the child during the past six months.
I say mean things to make him/her feel bad (e.g. sad, mad, guilty).
- 1: Never
- 2: Rarely
- 3: Sometimes
- 4: Often
- 5: Always
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q05
Parents have disagreements with their children from time to time because of challenging behaviour. Examples of challenging behaviour in younger children may include tantrums, defiance or disobedience; examples of challenging behaviour in teenagers may include talking back or being moody and argumentative.
During the past four weeks, how often did you and the child have major disagreements, big arguments or blow-ups because of his/her challenging behaviour?
- 1: Not at all
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
Parent or guardian self-complete questionnaire about the child (PGQ) - Question identifier:PGQ_Q06
Parents have disagreements with their children from time to time because of challenging behaviour. Examples of challenging behaviour in younger children may include tantrums, defiance or disobedience; examples of challenging behaviour in teenagers may include talking back or being moody and argumentative.
During the past four weeks, how often did you and the child have minor disagreements or quarrels because of his/her challenging behaviour?
- 1: Not at all
- 2: 1 or 2 times
- 3: 3 to 5 times
- 4: 6 to 10 times
- 5: More than 10 times
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