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Child Mental Health Analysis Tool
Child Mental Health Analysis Tool (Ages 6-12)
Section 1: General Behavior and Emotional Well-being
1. How often does your child seem generally happy and content?
Almost always
Often
Sometimes
Rarely
Never
2. How often does your child express feelings of sadness or unhappiness?
Almost never
Rarely
Sometimes
Often
Almost always
3. How often does your child exhibit signs of anxiety (e.g., excessive worry, nervousness, fear)?
Almost never
Rarely
Sometimes
Often
Almost always
4. How often does your child have difficulty calming down after being upset?
Almost never
Rarely
Sometimes
Often
Almost always
5. How often does your child show signs of irritability or frustration?
Almost never
Rarely
Sometimes
Often
Almost always
Section 2: Social Interaction and Relationships
6. How does your child interact with peers?
Very well, makes friends easily
Generally well, but with some difficulties
Struggles at times, but has a few friends
Often struggles, has few or no friends
Avoids interacting with peers
7. How often does your child prefer to be alone rather than with others?
Almost never
Rarely
Sometimes
Often
Almost always
8. How often does your child seem withdrawn or isolated from others?
Almost never
Rarely
Sometimes
Often
Almost always
9. How often does your child have conflicts with peers or adults?
Almost never
Rarely
Sometimes
Often
Almost always
10. How often does your child exhibit kind and empathetic behavior towards others?
Almost always
Often
Sometimes
Rarely
Never
Section 3: Academic and School-Related Behavior
11. How does your child generally perform academically?
Above average
Average
Below average
Significantly below average
12. How often does your child show interest and motivation in schoolwork?
Almost always
Often
Sometimes
Rarely
Never
13. How often does your child have difficulty concentrating or staying focused on tasks?
Almost never
Rarely
Sometimes
Often
Almost always
14. How often does your child complete homework or assigned tasks without significant difficulty?
Almost always
Often
Sometimes
Rarely
Never
15. How often does your child express fear or reluctance to go to school?
Almost never
Rarely
Sometimes
Often
Almost always
Section 4: Physical Symptoms and Sleep Patterns
16. How often does your child complain of physical symptoms (e.g., headaches, stomachaches) with no clear medical cause?
Almost never
Rarely
Sometimes
Often
Almost always
17. How often does your child have trouble falling asleep or staying asleep?
Almost never
Rarely
Sometimes
Often
Almost always
18. How often does your child have nightmares or disturbing dreams?
Almost never
Rarely
Sometimes
Often
Almost always
19. How often does your child wake up feeling rested and ready for the day?
Almost always
Often
Sometimes
Rarely
Never
20. How often does your child exhibit excessive tiredness or fatigue during the day?
Almost never
Rarely
Sometimes
Often
Almost always
Section 5: Behavioral Concerns
21. How often does your child display disruptive behavior at home or school (e.g., temper tantrums, defiance)?
Almost never
Rarely
Sometimes
Often
Almost always
22. How often does your child engage in repetitive or unusual behaviors (e.g., hand-flapping, rocking)?
Almost never
Rarely
Sometimes
Often
Almost always
23. How often does your child express anger or aggression towards others?
Almost never
Rarely
Sometimes
Often
Almost always
24. How often does your child follow rules and instructions without significant resistance?
Almost always
Often
Sometimes
Rarely
Never
25. How often does your child exhibit self-harm behaviors (e.g., hitting themselves, pulling hair)?
Almost never
Rarely
Sometimes
Often
Almost always
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