Brief Sensation Seeking Scale (+11 years) (Child)

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

Attachment B22 Child Brief Sensation Seeking Scale scan

Attachment B22. Brief Sensation Seeking Scale (11+ years) (Child)

OMB: 0920-0747

Document [doc]
Download: doc | pdf


OMB No: ???: Exp Date: ???

_____________________

Brief Sensation Seeking Scale (BSSS-4)






Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

  1. I would like to explore strange places.

O

O

O

O

O

  1. I like to do frightening things.

O

O

O

O

O

  1. I like new and exciting experiences, even if I have to break the rules.

O

O

O

O

O

  1. I prefer friends who are exciting and unpredictable.

O

O

O

O

O



FOR STUDY USE ONLY

Date Interviewed



Month Day Year

Interviewed by


Public reporting burden of this collection of information is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Clearance Officer; 1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333; ATTN: PRA (???).


File Typeapplication/msword
File TitleDemographic Survey
AuthorRobert McKeown
Last Modified Byfps8-su
File Modified2007-03-19
File Created2006-10-23

© 2024 OMB.report | Privacy Policy