“CHECKLIST OF CONCERNS”
Free toddlers activity & Parent Child Development guide parenting article

Review the list below and check off all emotional/behavioral problems that you would attribute to your child.

The spaces at the bottom are for adding any problems that do not appear on the list.

Frequently steals
Is frequently angry or loses temper often

Frequently lies or is deceitful
Frequently argues with adults

Has deliberately set fires
Often blames others for his/her mistakes

Is truant from school
Often defies or ignores adult requests

Has broken into a car or dwelling
Refuses to follow directions or rules

Has deliberately destroyed another's property
Has a low frustration tolerance

Is physically cruel to others
Deliberately annoys or provokes others

Is physically cruel to animals
Avoids taking responsibility for behavior

Often initiates physical fights
Frequently swear or uses foul language

Has forced another into sexual activity
Is overly disrespectful to authority

Carries (or has carried) a weapon
Has no concern for consequences

Has used a weapon to hurt someone
Becomes destructive when angry

Has legal problems
Becomes aggressive/assaultive when angry

Has a history of drug, tobacco, or alcohol use
Is overly controlling of others

Appears to be influences by gangs
Has threatened to harm/kill others

Participates in gang activity
Doesn't get along well with others

Displays inappropriate/inconsistent emotions
Becomes vindictive when angry

Complains of "seeing things" (visual hallucinations)
Engages in self-harming or self-mutilation

Complains of "hearing voices" (auditory hallucinations)
Often attempts to manipulate others

Has bizarre thought processes
Often appears sad or depressed

Has homicidal thoughts/ideation
Withdraws or isolates from others

Has suicidal thoughts/ideation
Has feelings of worthlessness

Acts immaturely
Has a complete lack of motivation

Seeks negative attention
Often fidgets or squirms, can't sit still

Is overly preoccupied with sex
Is easily distracted

Acts out sexually
Has a difficult time following directions

Urinates or defecates in unusual places
Talks excessively at innapropriate times

Wets or soils self during the day
Has a difficult time following directions

Has problems at school
Often interrupts or intrudes on others

Has excessive anxiety and worry
Has a difficult time focusing on a task

Has a fear which disrupts daily life
Often acts impulsively (without thinking)

Often impedes on the rights of others
Has a difficult time playing quietly

Participates in dangerous/reckless behaviors
Often fails to complete chores or tasks

OTHER: _________________________________________

OTHER: _________________________________________

OTHER: _________________________________________

If your child is receiving therapy, then this checklist may provide insight to the mental health professional that is caring for your child.

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