The Pediatric Symptom Checklist-17 is a brief screening questionnaire designed to facilitate the recognition of cognitive, emotional, and behavioral problems in children ages 4 to 17. The questionnaire is to be completed by biological, adoptive, or guardian of the child.
Instruction:
Emotional and physical health go together in children. Because caregivers are often the first to notice a problem with their child’s behavior, emotions or learning, you may help your child get the best care possible by answering these questions.
Please select your response that best fits your child based on the following rating scale:
-Never