31 Emotional Health Questionaire

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Overview

Cover Page
Overview
18+ NA (SELF)
8-17 NA (SELF)
8-12 NA (PROXY)
3-7 NA (PROXY)
18+ PA (SELF)
13-17 PA (SELF)
8-12 PA (SELF)
8-12 PA (PROXY)
3-7 PA (PROXY)
18+ S&SE (SELF)
13-17 S&SE (SELF)
8-12 S&SE (SELF)
8-12 S&SE (PROXY)
18+ SR (SELF)
8-17 SR (SELF)
3-12 SR (PROXY)

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Sheet 1: Cover Page

Attachment 31

Emotional Health Questionnaires for Toolbox

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Sheet 2: Overview

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, OVERVIEW
Subdomain	Concept	Measure	Item Count	Measure	Item Count	Measure	Item Count	Measure	Item Count	Measure	Item Count
		ADULT SELF-REPORT (18+)		PEDS SELF-REPORT (13-17)		PEDS SELF-REPORT (8-12)		PEDS PROXY REPORT (8-12)		PEDS PROXY-REPORT (3-7)
Negative Affect	Anger	PROMIS - Anger Item Bank	29
		PROMIS - Anger SF (8 items)		PedsPROMIS - Anger SF	6	PedsPROMIS - Anger SF	6
								AESC-10	10
		BPAQ - Hostility	6
		BPAQ - Physical Aggression	5
										HBQ - Overt Agression	9
	Fear	PROMIS - Anxiety Item Bank	28
		PROMIS - Anxiety SF (7 items)		PedsPROMIS - Anxiety SF	8	PedsPROMIS - Anxiety SF	8
								SCARED-10	10
										HBQ - Over Anxious	6
										HBQ - Separation	7
		MASQ - Somatic Anxiety	6
	Sadness	PROMIS - Depression Item Bank	28
		PROMIS - Depression SF (8 items)		PedsPROMIS - Depression SF	8	PedsPROMIS - Depression SF	8
								SMFQ-11	11
										HBQ - Depression	7
		Subdomain Total	102	Subdomain Total	22	Subdomain Total	22	Subdomain Total	31	Subdomain Total	29
Positive Affect	Positive Feeling States	Toolbox - Happiness	8	PedsToolbox - Positive Affect (PA)	16	PedsToolbox PA (Happiness)	10	Peds Toolbox Proxy PA (Happiness)	3	PedsToolbox Proxy PA (Happiness)	9
		Toolbox - Serenity	8			PedsToolbox PA (Serenity/Cognitive Engagement)	5	Peds Toolbox Proxy PA (Cognitive Engagement)	6
		Toolbox - Cognitive Engagement	5
		(additional PFS Bank Items)	13					PedsToolbox Proxy PA (Elation)	3
						High Intensity Pleasure	5	High Intensity Pleasure	14	Smiling & Laughter	5
	Life Satisfaction	Satisfaction with Life Scale (+2 items modified for readability)	7	Satisfaction with Life Scale (+2 items modified for readibility)	7
		Students' Life Satisfaction Scale (modified)	7	Students' Life Satisfaction Scale	7	Students' Life Satisfaction Scale	7	Students' Life Satisfaction Scale (modified)	7	Students' Life Satisfaction Scale (modified)	7
				Domain-Specific Life Satisfaction	10	Domain-Specific Life Satisfaction	9	Domain-Specific Life Satisfaction	10	Domain-Specific Life Satisfaction	8
	Meaning	Toolbox - Meaning	8
		Subdomain Total	56		40	Subdomain Total	36	Subdomain Total	43	Subdomain Total	29
Stress & Self-Efficacy	Perceived Stress	Perceived Stress Scale (+1 item modified for readability)	15	Perceived Stress Scale (modified)	14	Perceived Stress Scale (modified)	14	Perceived Stress Scale (modified)	14
	Coping Strategies
	Self-Efficacy	GSES	10	GSES	10	GSES	10	GSES	10
		GSES (modified response options)	10	GSES (modified response options)	10	GSES (modified response options)	10	GSES (modified response options)	10
				How I Feel	10	How I Feel	10	How I Feel	10
		Subdomain Total	35	Subdomain Total	44	Subdomain Total	44	Subdomain Total	44	Subdomain Total	0
Social Relationships	Social Support	Toolbox - Emotional/Informational Support	8	PedsToolbox - Emotional Support	7	PedsToolbox - Emotional Support	7
		Toolbox - Instrumental Support	8
				PedsToolbox - Maternal Relationship	3	PedsToolbox - Maternal Relationship	3
				PedsToolbox - Paternal Relationship	3	PedsToolbox - Paternal Relationship	3
								PedsToolbox - Positive Parental Relationships	5	PedsToolbox - Positive Parental Relationships	5
								PedsToolbox - Negative Parental Relationships	4	PedsToolbox - Negative Parental Relationships	4
	Companionship	Toolbox - Friendship	8	PedsToolbox - Friendship	5	PedsToolbox - Friendship	5
								PedsToolbox - Positive Peer Interactions	4	PedsToolbox - Positive Peer Interactions	4
		Toolbox - Loneliness	5	PedsToolbox - Loneliness	7	PedsToolbox - Loneliness	7
								PedsToolbox - Social Withdrawal	4	PedsToolbox - Social Withdrawal	4
	Social Distress	Toolbox - Perceived Insensitivity	8	PedsToolbox - Perceived Insensitivity	7	PedsToolbox - Perceived Insensitivity	7
		Toolbox - Perceived Hostility	8	PedsToolbox - Perceived Hostility	5	PedsToolbox - Perceived Hostility	5
								PedsToolbox - Rejection by Peers	9	PedsToolbox - Rejection by Peers	9
								PedsToolbox - Rejection by Sibs	9	PedsToolbox - Rejection by Sibs	9
	Positive Social Development							PedsToolbox - Empathic Behaviors	10	PedsToolbox - Empathic Behaviors	10
		Subdomain Total	45	Subdomain Total	37	Subdomain Total	37	Subdomain Total	45	Subdomain Total	45
		OVERALL TOTAL	238	OVERALL TOTAL	143	OVERALL TOTAL	139	OVERALL TOTAL	163	OVERALL TOTAL	103
		Estimated Total Time	28 min.	Estimated Total Time	29 min.	Estimated Total Time	28 min.	Estimated Total Time	28 min.	Estimated Total Time	19 min.
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.

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Sheet 3: 18+ NA (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 18+ NA (SELF)
Item Count	Toolbox ID	Item Context	Item Stem	Response	Scale
Anger - Affect
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
1	Anger30	In the past 7 days:	When I was frustrated, I let it show.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
2	Anger31	In the past 7 days:	I was irritated more than people knew.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
3	Anger32	In the past 7 days:	I felt envious of others.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
4	Anger33	In the past 7 days:	I disagreed with people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
5	Anger34	In the past 7 days:	I made myself angry about something just by thinking about it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
6	Anger35	In the past 7 days:	I tried to get even when I was angry with someone.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
7	Anger36	In the past 7 days:	I felt angry.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
8	Anger37	In the past 7 days:	When I was mad at someone, I gave them the silent treatment.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
9	Anger38	In the past 7 days:	I felt like breaking things.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
10	Anger39	In the past 7 days:	I felt like I was ready to explode.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
11	Anger40	In the past 7 days:	When I was angry, I sulked.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
12	Anger41	In the past 7 days:	I felt resentful when I didn't get my way.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
13	Anger42	In the past 7 days:	I felt guilty about my anger.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
14	Anger43	In the past 7 days:	I felt bitter about things.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
15	Anger44	In the past 7 days:	I felt that people were trying to anger me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
16	Anger45	In the past 7 days:	I stayed angry for hours.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
17	Anger46	In the past 7 days:	I held grudges towards others.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
18	Anger47	In the past 7 days:	I felt angrier than I thought I should.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
19	Anger48	In the past 7 days:	I was grouchy.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
20	Anger49	In the past 7 days:	I was stubborn with others.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
21	Anger50	In the past 7 days:	I felt annoyed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
22	Anger51	In the past 7 days:	I had a bad temper.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
23	Anger52	In the past 7 days:	I had trouble controlling my temper.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
24	Anger53	In the past 7 days:	I was angry when I was delayed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
25	Anger54	In the past 7 days:	Even after I expressed my anger, I had trouble forgetting about it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
26	Anger55	In the past 7 days:	I felt like I needed help for my anger.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
27	Anger56	In the past 7 days:	I was angry when something blocked my plans.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
28	Anger57	In the past 7 days:	I felt like yelling at someone.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anger
29	Anger58	In the past 7 days:	Just being around people irritated me.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PROMIS: Anger
Anger - Hostility
			For the next set of questions, please tell us how true each statement is of you.
30	Anger22	How true of you is this statement?	I am sometimes eaten up with jealousy.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
31	Anger23	How true of you is this statement?	At times I feel I have gotten a raw deal out of life.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
32	Anger24	How true of you is this statement?	Other people always seem to get the breaks.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
33	Anger25	How true of you is this statement?	I wonder why sometimes I feel so bitter about things.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
34	Anger28	How true of you is this statement?	I sometimes feel that people are laughing at me behind my back.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
35	Anger29	How true of you is this statement?	When people are especially nice, I wonder what they want.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
Anger - Physical Aggression
36	Anger02m	How true of you is this statement?	If I am provoked enough, I may hit another person.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
37	Anger04	How true of you is this statement?	I get into fights a little more than the average person.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
38	Anger06	How true of you is this statement?	There are people who pushed me so far that we came to blows.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
39	Anger08	How true of you is this statement?	I have threatened people I know.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
40	Anger09	How true of you is this statement?	I have become so mad that I have broken things.	1-extremely untrue of me 2- 3- 4- 5- 6- 7-extremely true of me	BPAQ: Buss-Perry Aggression Questionnaire
Fear - Psychological
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
41	Anxiety36	In the past 7 days:	I felt fearful.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
42	Anxiety37	In the past 7 days:	I felt frightened.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
43	Anxiety38	In the past 7 days:	It scared me when I felt nervous.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
44	Anxiety39	In the past 7 days:	I felt anxious.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
45	Anxiety40	In the past 7 days:	I felt like I needed help for my anxiety.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
46	Anxiety41	In the past 7 days:	I was concerned about my mental health.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
47	Anxiety42	In the past 7 days:	I felt upset.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
48	Anxiety43	In the past 7 days:	I had a racing or pounding heart.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
49	Anxiety44	In the past 7 days:	I was anxious if my normal routine was disturbed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
50	Anxiety45	In the past 7 days:	I had sudden feelings of panic.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
51	Anxiety46	In the past 7 days:	I was easily startled.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
52	Anxiety47	In the past 7 days:	I had trouble paying attention.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
53	Anxiety48	In the past 7 days:	I avoided public places or activities.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
54	Anxiety49	In the past 7 days:	I felt fidgety.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
55	Anxiety50	In the past 7 days:	I felt something awful would happen.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
56	Anxiety51	In the past 7 days:	I felt worried.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
57	Anxiety52	In the past 7 days:	I felt terrified.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
58	Anxiety53	In the past 7 days:	I worried about other people's reactions to me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
59	Anxiety54	In the past 7 days:	I found it hard to focus on anything other than my anxiety.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
60	Anxiety55	In the past 7 days:	My worries overwhelmed me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
61	Anxiety56	In the past 7 days:	I had twitching or trembling muscles.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
62	Anxiety57	In the past 7 days:	I felt nervous.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
63	Anxiety58	In the past 7 days:	I felt indecisive.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
64	Anxiety59	In the past 7 days:	Many situations made me worry.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
65	Anxiety60	In the past 7 days:	I had difficulty sleeping.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
66	Anxiety61	In the past 7 days:	I had trouble relaxing.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
67	Anxiety62	In the past 7 days:	I felt uneasy.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
68	Anxiety63	In the past 7 days:	I felt tense.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Anxiety
68.5	Anxiety64	In the past 7 days:	I had difficulty calming down.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always
Fear - Somatic
			For the next set of questions, consider how much you have felt or experienced things during the past week, including today.
69	Anxiety13	In the past 7 days:	I was short of breath.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
70	Anxiety24	In the past 7 days:	I felt nauseous.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
71	Anxiety25	In the past 7 days:	I felt dizzy or lightheaded.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
72	Anxiety28	In the past 7 days:	My muscles twitched or trembled.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
73	Anxiety31	In the past 7 days:	My heart was racing or pounding.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
74	Anxiety34	In the past 7 days:	My muscles were tense or sore.	1 = Not at all 2 = A little bit 3 = Moderately 4 = Quite a bit 5 = Extremely	MASQ-SF: Mood and Anxiety Symptom Questionnaire-Short Form: Subscales for General Distress (Anxiety) and Anxious Arousal
Sadness
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
75	Depression30	In the past 7 days:	I felt worthless.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
76	Depression31	In the past 7 days:	I felt that I had nothing to look forward to.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
77	Depression32	In the past 7 days:	I felt helpless.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
78	Depression33	In the past 7 days:	I withdrew from other people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
79	Depression34	In the past 7 days:	I felt that nothing could cheer me up.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
80	Depression35	In the past 7 days:	I felt that I was not as good as other people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
81	Depression36	In the past 7 days:	I felt sad.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
82	Depression37	In the past 7 days:	I felt that I wanted to give up on everything.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
83	Depression38	In the past 7 days:	I felt that I was to blame for things.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
84	Depression39	In the past 7 days:	I felt like a failure.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
85	Depression40	In the past 7 days:	I had trouble feeling close to people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
86	Depression41	In the past 7 days:	I felt disappointed in myself.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
87	Depression42	In the past 7 days:	I felt that I was not needed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
88	Depression43	In the past 7 days:	I felt lonely.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
89	Depression44	In the past 7 days:	I felt depressed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
90	Depression45	In the past 7 days:	I had trouble making decisions.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
91	Depression46	In the past 7 days:	I felt discouraged about the future.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
92	Depression47	In the past 7 days:	I found that things in my life were overwhelming.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
93	Depression48	In the past 7 days:	I felt unhappy.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
94	Depression49	In the past 7 days:	I felt I had no reason for living.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
95	Depression50	In the past 7 days:	I felt hopeless.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
96	Depression51	In the past 7 days:	I felt ignored by people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
97	Depression52	In the past 7 days:	I felt upset for no reason.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
98	Depression53	In the past 7 days:	I felt that nothing was interesting.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
99	Depression54	In the past 7 days:	I felt pessimistic.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
100	Depression55	In the past 7 days:	I felt that my life was empty.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
101	Depression56	In the past 7 days:	I felt guilty.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression
102	Depression57	In the past 7 days:	I felt emotionally exhausted.	1 = Never 2 = Rarely 3 = Sometimes 4 = Often 5 = Always	PROMIS: Depression

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Sheet 4: 8-17 NA (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-17 NA (SELF)
Item Count	Concept ID	Item Context	Item Stem	Response	Scale
Anger
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
1	PedRepAng13	In the past 7 days:	I felt mad.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
2	PedRepAng14	In the past 7 days:	I was so angry I felt like yelling at somebody.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
3	PedRepAng15	In the past 7 days:	When I got mad, I stayed mad.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
4	PedRepAng16	In the past 7 days:	I felt fed up.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
5	PedRepAng17	In the past 7 days:	I was so angry I felt like throwing something.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
6	PedRepAng18	In the past 7 days:	I felt upset.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anger Item Bank
Fear
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
7	PedRepAnx42	In the past 7 days:	I felt scared.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
8	PedRepAnx43	In the past 7 days:	I worried about what could happen to me.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
9	PedRepAnx44	In the past 7 days:	I felt worried.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
10	PedRepAnx45	In the past 7 days:	I felt like something awful might happen.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
11	PedRepAnx46	In the past 7 days:	I worried when I went to bed at night.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
12	PedRepAnx47	In the past 7 days:	I thought about scary things.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
13	PedRepAnx48	In the past 7 days:	I felt nervous.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
14	PedRepAnx49	In the past 7 days:	I was afraid that I would make mistakes.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Anxiety Bank
Sadness
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
15	PedRepDep34	In the past 7 days:	I felt like I couldn't do anything right.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
16	PedRepDep35	In the past 7 days:	I felt everything in my life went wrong.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
17	PedRepDep36	In the past 7 days:	I felt unhappy.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
18	PedRepDep37	In the past 7 days:	I felt lonely.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
19	PedRepDep38	In the past 7 days:	I felt sad.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
20	PedRepDep39	In the past 7 days:	I felt alone.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
21	PedRepDep40	In the past 7 days:	I thought that my life was bad.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank
22	PedRepDep41	In the past 7 days:	I could not stop feeling sad.	0 = Never 1 = Almost Never 2 = Sometimes 3 = Often 4 = Almost Always	PROMIS Pediatric Depression Item Bank

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Sheet 5: 8-12 NA (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-12 NA (PROXY)
Item Count	Concept ID	Item Context	Item Stem	Response	Scale
Anger
			For the next set of questions, please read each statement and choose the answer that best describes your child, or shows how your child usually feels.
1	PedProxAng20	Choose the answer that best describes your child, or shows how your child usually feels.	My child feels angry.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
2	PedProxAng21	Choose the answer that best describes your child, or shows how your child usually feels.	My child feels like yelling at someone.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
3	PedProxAng23	Choose the answer that best describes your child, or shows how your child usually feels.	My child gets very impatient if he/she has to wait for something.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
4	PedProxAng24	Choose the answer that best describes your child, or shows how your child usually feels.	My child loses his/her temper easily.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
5	PedProxAng25	Choose the answer that best describes your child, or shows how your child usually feels.	My child feels like breaking things.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
6	PedProxAng26	Choose the answer that best describes your child, or shows how your child usually feels.	My child feels grouchy or irritable.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
7	PedProxAng27	Choose the answer that best describes your child, or shows how your child usually feels.	My child gets in a bad mood when things don't go his/her way.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
8	PedProxAng29	Choose the answer that best describes your child, or shows how your child usually feels.	My child has a bad temper.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
9	PedProxAng30	Choose the answer that best describes your child, or shows how your child usually feels.	My child gets very angry if his/her parent or teacher criticizes him/her.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
10	PedProxAng31	Choose the answer that best describes your child, or shows how your child usually feels.	My child gets in a bad mood easily.	1 - Almost never 2 - Sometimes 3 - Often 4 - Almost always	AESC: Anger Expression Scale for Children
Fear
			For the next set of questions, please read each statement and choose the answer that best describes your child, or shows how your child usually feels.
11	PedProxAnx55	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about other people liking him/her.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
12	PedProxAnx57	Choose the answer that best describes your child, or shows how your child usually feels.	My child is nervous.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
13	PedProxAnx64	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about being as good as other kids.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
14	PedProxAnx67	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about going to school.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
15	PedProxAnx71	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about things working out for him/her.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
16	PedProxAnx73	Choose the answer that best describes your child, or shows how your child usually feels.	My child is a worrier.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
17	PedProxAnx78	Choose the answer that best describes your child, or shows how your child usually feels.	People tell me that my child worries too much.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
18	PedProxAnx83	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about what is going to happen in the future.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
19	PedProxAnx85	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about how well he/she does things.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
20	PedProxAnx87	Choose the answer that best describes your child, or shows how your child usually feels.	My child worries about things that have already happened.	1 = Not true or hardly ever true 2 = Sometimes true or somewhat true 3 = Very true or often true	SCARED: Screen for Anxiety Related Disorders
Sadness
			For the next set of questions, please indicate how much your child felt or acted the way described in the past 2 weeks. In other words, how true is the statement for the past 2 weeks?
21	PedProxDep14	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child felt miserable or unhappy.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
22	PedProxDep15	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child didn't enjoy anything at all.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
23	PedProxDep18	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child felt s/he was no good anymore.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
24	PedProxDep19	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child cried a lot.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
25	PedProxDep20	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child found it hard to think properly or concentrate.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
26	PedProxDep21	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child hated him/herself.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
27	PedProxDep22	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child felt s/he was a bad person.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
28	PedProxDep23	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child felt lonely.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
29	PedProxDep24	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child thought nobody really loved him/her.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
30	PedProxDep25	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child thought s/he could never be as good as the other kids.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire
31	PedProxDep26	Please indicate how much your child has felt or acted this way in the past 2 weeks. How true is this statement?	My child felt s/he did everything wrong.	0 = Not true 1 = Sometimes true 2 = True	SMFQ: Short Mood and Feelings Questionnaire

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Sheet 6: 3-7 NA (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 3-7 NA (PROXY)
Item Count	Concept ID	Item Context	Item Stem	Response	Scale
Anger
			For the next set of questions, please indicate how often or true the behavior is of your child.
1	PedProxAng01	Please indicate how often or true the behavior is of your child.	Has temper tantrums or hot temper.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
2	PedProxAng02	Please indicate how often or true the behavior is of your child.	Argues a lot with adults.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
3	PedProxAng03	Please indicate how often or true the behavior is of your child.	Argues a lot with peers.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
4	PedProxAng05	Please indicate how often or true the behavior is of your child.	Blames others for his/her own mistakes.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
5	PedProxAng06	Please indicate how often or true the behavior is of your child.	Is easily annoyed by others.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
6	PedProxAng07	Please indicate how often or true the behavior is of your child.	Is angry and resentful.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
7	PedProxAng08	Please indicate how often or true the behavior is of your child.	Gets back at people.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
8	PedProxAng09m	Please indicate how often or true the behavior is of your child.	Swears or uses curse words.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: oppositional-defiant subscale
9	PedProxAng11	Please indicate how often or true the behavior is of your child.	Does things that annoy others.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: overt hostility subscale
Fear
			For the next set of questions, please indicate how often or true the behavior is of your child.
10	PedProxAnx29	Please indicate how often or true the behavior is of your child.	Worries about things in the future.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
11	PedProxAnx31	Please indicate how often or true the behavior is of your child.	Worries about past behavior.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
12	PedProxAnx32	Please indicate how often or true the behavior is of your child.	Worries about doing better at things.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
13	PedProxAnx35	Please indicate how often or true the behavior is of your child.	Is self-conscious or easily embarrassed.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
14	PedProxAnx36	Please indicate how often or true the behavior is of your child.	Needs to be told over and over that things are okay.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
15	PedProxAnx37	Please indicate how often or true the behavior is of your child.	Is nervous, high strung or tense.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Overanxious subscale
16	PedProxAnx38	Please indicate how often or true the behavior is of your child.	Worries that something bad will happen to people he/she is close to.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
17	PedProxAnx39	Please indicate how often or true the behavior is of your child.	Worries about being separated from loved ones.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
18	PedProxAnx40	Please indicate how often or true the behavior is of your child.	Avoids school to stay home.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
19	PedProxAnx43	Please indicate how often or true the behavior is of your child.	Has nightmares about being abandoned.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
20	PedProxAnx44	Please indicate how often or true the behavior is of your child.	Complains of feeling sick before separating from those he/she is close to.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
21	PedProxAnx45	Please indicate how often or true the behavior is of your child.	Is overly upset when leaving someone he/she is close to.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
22	PedProxAnx47	Please indicate how often or true the behavior is of your child.	Is afraid of being away from home.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Separation anxiety subscale
Sadness
			For the next set of questions, please indicate how often or true the behavior is of your child.
23	PedProxDep02	Please indicate how often or true the behavior is of your child.	Feels worthless or inferior.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
24	PedProxDep03	Please indicate how often or true the behavior is of your child.	Is unhappy, sad or depressed.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
25	PedProxDep04	Please indicate how often or true the behavior is of your child.	Is underactive, slow-moving, or lacks energy.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
26	PedProxDep05	Please indicate how often or true the behavior is of your child.	Cries a lot.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
27	PedProxDep06	Please indicate how often or true the behavior is of your child.	Seems lonely.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
28	PedProxDep07	Please indicate how often or true the behavior is of your child.	Doesn't smile or laugh much.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Depression subscale
29	PedProxDep13	Please indicate how often or true the behavior is of your child.	Withdraws from peer activities.	0 = Never or not true 1 = Sometimes or somewhat true 2 = Often or very true	HBQ: MacArthur Health and Behavior Questionnaire: Asocial with peers subscale

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Sheet 7: 18+ PA (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 18+ PA (SELF)
Item count	Toolbox ID	Proposed Item Context	Proposed Item Stem	Proposed Responses	Scale	Note
Postive Feeling States
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
1	PA001	In the past 7 days:	I felt cheerful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
2	PA002	In the past 7 days:	I felt attentive.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
3	PA005	In the past 7 days:	I felt relaxed.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
4	PA006	In the past 7 days:	I felt delighted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
5	PA007	In the past 7 days:	I felt inspired.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
6	PA008	In the past 7 days:	I felt fearless.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
8	PA010	In the past 7 days:	I felt happy.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
9	PA014	In the past 7 days:	I felt joyful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
10	PA015	In the past 7 days:	I felt excited.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
11	PA016	In the past 7 days:	I felt proud.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
12	PA017	In the past 7 days:	I felt lively.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
13	PA018	In the past 7 days:	I felt at ease.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
14	PA019	In the past 7 days:	I felt enthusiastic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
15	PA020	In the past 7 days:	I felt determined.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
16	PA021	In the past 7 days:	I felt interested.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
17	PA022	In the past 7 days:	I felt confident.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
18	PA024	In the past 7 days:	I felt able to concentrate.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
19	PA025	In the past 7 days:	I was thinking creatively.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
20	PA026	In the past 7 days:	I liked myself.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
21	PA027	In the past 7 days:	My future looked good.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
22	PA029	In the past 7 days:	I smiled and laughed a lot.	1= Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
23	PA030	In the past 7 days:	I felt peaceful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	FACIT-Sp
25	PA032	In the past 7 days:	I was able to reach down deep into myself for comfort.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	FACIT-Sp
26	PA033	In the past 7 days:	I felt a sense of harmony within myself.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
27	PA034	In the past 7 days:	I generally enjoyed the things I did.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
28	PA035	In the past 7 days:	I felt lighthearted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
29	PA036	In the past 7 days:	I felt satisfied.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
30	PA037	In the past 7 days:	I felt good-natured.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
31	PA039	In the past 7 days:	I felt useful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
32	PA040	In the past 7 days:	I felt optimistic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
33	PA041	In the past 7 days:	I felt interested in other people.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
34	PA042	In the past 7 days:	I felt understood.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
34.5	PA043	In the past 7 days:	I felt grateful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much
35	PA044	In the past 7 days:	I felt content.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Brief Mood Introspection Scale
Life Satisfaction
			For the next set of questions, please indicate how much you agree or disagree with each statement.
36	PA045	Indicate how much you agree or disagree:	In most ways my life is close to my ideal.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
37	PA046	Indicate how much you agree or disagree:	If I could live my life over, I would change almost nothing.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
38	PA047	Indicate how much you agree or disagree:	I am satisfied with my life.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
39	PA048	Indicate how much you agree or disagree:	So far I have gotten the important things I want in life.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
40	PA049	Indicate how much you agree or disagree:	The conditions of my life are excellent.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
41	PA045m	Indicate how much you agree or disagree:	In most ways, my life is close to perfect.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)	Note: This item was modified from PA045.
42	PA049m	Indicate how much you agree or disagree:	My life situation is excellent.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)	Note: This item was modified from PA049.
43	PA066	Indicate how much you agree or disagree:	My life is going well.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
44	PA067	Indicate how much you agree or disagree:	My life is just right.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
45	PA068	Indicate how much you agree or disagree:	I would like to change many things in my life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
46	PA069	Indicate how much you agree or disagree:	I wish I had a different kind of life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
47	PA070	Indicate how much you agree or disagree:	I have a good life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
48	PA071	Indicate how much you agree or disagree:	I have what I want in life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
49	PA072	Indicate how much you agree or disagree:	My life is better than most people's lives.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)	Note: This item was modified from the kids' version.
Meaning
			For the next set of questions, please indicate how much you agree or disagree with each statement.
50	PA051	Indicate how much you agree or disagree:	My life has a clear sense of purpose.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Meaning in Life Questionnaire (Steger)
51	PA053	Indicate how much you agree or disagree:	I have discovered a satisfying life purpose.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Meaning in Life Questionnaire (Steger)
52	PA057	Indicate how much you agree or disagree:	I generally feel that what I do in my life is valuable and worthwhile.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	European Social Survey
53	PA059	Indicate how much you agree or disagree:	My daily life is full of things that are interesting to me.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	MOS-Mental Health Inventory
54	PA061	Indicate how much you agree or disagree:	To me, the things I do are all worthwhile.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Life Engagement Test (Scheier)
55	PA063	Indicate how much you agree or disagree:	I value my activities a lot.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Life Engagement Test (Scheier)
56	PA065	Indicate how much you agree or disagree:	I have lots of reasons for living.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Life Engagement Test (Scheier)
57	PA075	Indicate how much you agree or disagree:	I feel a sense of purpose in my life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	FACIT-Sp

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Sheet 8: 13-17 PA (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 13-17 PA (SELF)
Item Count	Concept ID	Item Context	Item Stem - 13-17 yo SELF	Responses	Scale	Note
Postive Feeling States
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
1	PA001	In the past 7 days:	I felt cheerful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
2	PA002	In the past 7 days:	I felt attentive.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
3	PA006	In the past 7 days:	I felt delighted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
4	PA009	In the past 7 days:	I felt calm.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
5	PA010	In the past 7 days:	I felt happy.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
6	PA014	In the past 7 days:	I felt joyful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
7	PA018	In the past 7 days:	I felt at ease.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
8	PA019	In the past 7 days:	I felt enthusiastic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
9	PA021	In the past 7 days:	I felt interested.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
10	PA029	In the past 7 days:	I smiled and laughed a lot.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
11	PA030	In the past 7 days:	I felt peaceful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	FACIT-Sp
12	PA032	In the past 7 days:	I was able to reach down deep into myself for comfort.	3 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	FACIT-Sp
13	PA034	In the past 7 days:	I generally enjoyed the things I did.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Mental Health Inventory
14	PA036	In the past 7 days:	I felt satisfied.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
15	PA037	In the past 7 days:	I felt good-natured.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Affectometer-2
16	PA044	In the past 7 days:	I felt content.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	Brief Mood Introspection Scale
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
Life Satisfaction
			For the next set of questions, please indicate how much you agree or disagree with each statement.
17	PA045	Indicate how much you agree or disagree:	In most ways my life is close to my ideal.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
18	PA046	Indicate how much you agree or disagree:	If I could live my life over, I would change almost nothing.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
19	PA047	Indicate how much you agree or disagree:	I am satisfied with my life.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
20	PA048	Indicate how much you agree or disagree:	So far I have gotten the important things I want in life.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
21	PA049	Indicate how much you agree or disagree:	The conditions of my life are excellent.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)
22	PA045m	Indicate how much you agree or disagree:	In most ways, my life is close to perfect.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Satisfaction with Life Scale (Diener)	Note: This item was modified from PA045.
23	PA049m	Indicate how much you agree or disagree:	My life situation is excellent.	1 = Strongly disagree 2 = Disagree 3 = Slightly disagree 4 = Neither agree nor disagree 5 = Slightly agree 6 = Agree 7 = Strongly agree	Satisfaction with Life Scale (Diener)	Note: This item was modified from PA049.
24	PA066	Indicate how much you agree or disagree:	My life is going well.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
25	PA067	Indicate how much you agree or disagree:	My life is just right.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
26	PA068	Indicate how much you agree or disagree:	I would like to change many things in my life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
27	PA069	Indicate how much you agree or disagree:	I wish I had a different kind of life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
28	PA070	Indicate how much you agree or disagree:	I have a good life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
29	PA071	Indicate how much you agree or disagree:	I have what I want in life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
30	PA072m	Indicate how much you agree or disagree:	My life is better than most kids' lives.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
31	PA103	Indicate how much you agree or disagree:	I am satisfied with my hobbies and free time activities.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
32	PA104	Indicate how much you agree or disagree:	I am satisfied with the clothes, games, toys, and other things I have.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
33	PA105	Indicate how much you agree or disagree:	I am satisfied with how much time I get from my parents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
34	PA106	Indicate how much you agree or disagree:	I am satisfied with how much attention I get from my parents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
35	PA107	Indicate how much you agree or disagree:	I am satisfied with how I get along with my brother(s) or sister(s).	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much 6 = Does not apply	National Survey of Children
36	PA108	Indicate how much you agree or disagree:	I am satisfied with the friends I have.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
37	PA109	Indicate how much you agree or disagree:	I am satisfied with how I get along with my friends.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
38	PA110	Indicate how much you agree or disagree:	I am satisfied with my size and appearance.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
39	PA112	Indicate how much you agree or disagree:	I am satisfied with my skills and talents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
40	PA113	Indicate how much you agree or disagree:	I am satisfied with the neighborhood and community in which I live.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children

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Sheet 9: 8-12 PA (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-12 PA (SELF)
Item Count	Variable Name	Item Context	Item Stem	Responses	Scale
Postive Feeling States
			For the next set of questions, please tell us how true each statement was of you in the past 7 days.
1	PA001	In the past 7 days:	I felt cheerful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
2	PA002	In the past 7 days:	I felt attentive.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
3	PA005	In the past 7 days:	I felt relaxed.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
4	PA006	In the past 7 days:	I felt delighted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
5	PA009	In the past 7 days:	I felt calm.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
6	PA010	In the past 7 days:	I felt happy.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
7	PA013	In the past 7 days:	I felt active.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
8	PA014	In the past 7 days:	I felt joyful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
9	PA017	In the past 7 days:	I felt lively.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
10	PA018	In the past 7 days:	I felt at ease.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
11	PA019	In the past 7 days:	I felt enthusiastic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
12	PA021	In the past 7 days:	I felt interested.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
13	PA022	In the past 7 days:	I felt confident.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
14	PA023	In the past 7 days:	I felt energetic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
15	PA024	In the past 7 days:	I felt able to concentrate.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
			Directions: For each statement, please select the answer that best describes how true each statement is for you. There are no best answers. People are very different in how they feel about these statements.
16	PA099		I would not be afraid to try a risky sport, like deep-sea diving.	1 = Almost always untrue of you 2 = Usually untrue of you 3 = Sometimes true, sometimes untrue of you 4 = Usually true of you 5 = Almost always true of you NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
17	PA100		I wouldn't be afraid to try something like mountain climbing.	1 = Almost always untrue of you 2 = Usually untrue of you 3 = Sometimes true, sometimes untrue of you 4 = Usually true of you 5 = Almost always true of you NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
18	PA118		I wouldn't be afraid to skateboard or ride a bike really fast down a steep hill.	1 = Almost always untrue of you 2 = Usually untrue of you 3 = Sometimes true, sometimes untrue of you 4 = Usually true of you 5 = Almost always true of you NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
19	PA122		I like to go high and fast on the swings.	1 = Almost always untrue of you 2 = Usually untrue of you 3 = Sometimes true, sometimes untrue of you 4 = Usually true of you 5 = Almost always true of you NA = Not applicable	Temperament in Middle Childhood Questionnaire
20	PA125		I like going down high slides or other adventurous activities.	1 = Almost always untrue of you 2 = Usually untrue of you 3 = Sometimes true, sometimes untrue of you 4 = Usually true of you 5 = Almost always true of you NA = Not applicable	Temperament in Middle Childhood Questionnaire
Life Satisfaction
			For the next set of questions, please indicate how much you agree or disagree with each statement.
21	PA066	Indicate how much you agree or disagree:	My life is going well.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
22	PA067	Indicate how much you agree or disagree:	My life is just right.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
23	PA068	Indicate how much you agree or disagree:	I would like to change many things in my life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
24	PA069	Indicate how much you agree or disagree:	I wish I had a different kind of life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
25	PA070	Indicate how much you agree or disagree:	I have a good life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
26	PA071	Indicate how much you agree or disagree:	I have what I want in life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
27	PA072m	Indicate how much you agree or disagree:	My life is better than most kids' lives.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
28	PA103	Indicate how much you agree or disagree:	I am satisfied with my hobbies and free time activities.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
29	PA104	Indicate how much you agree or disagree:	I am satisfied with the clothes, games, toys, and other things I have.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
30	PA105	Indicate how much you agree or disagree:	I am satisfied with how much time I get from my parents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
31	PA106	Indicate how much you agree or disagree:	I am satisfied with how much attention I get from my parents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
32	PA107	Indicate how much you agree or disagree:	I am satisfied with how I get along with my brother(s) or sister(s).	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much 6 = Does not apply	National Survey of Children
33	PA108	Indicate how much you agree or disagree:	I am satisfied with the friends I have.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
34	PA109	Indicate how much you agree or disagree:	I am satisfied with how I get along with my friends.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
35	PA112	Indicate how much you agree or disagree:	I am satisfied with my skills and talents.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
36	PA113	Indicate how much you agree or disagree:	I am satisfied with the neighborhood and community in which I live.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children

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Sheet 10: 8-12 PA (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-12 PA (PROXY)
Item Count	Concept ID	Item Context	Item Stem	Response	Scale
Postive Feeling States
			For the next set of questions, please tell us how true the statement was of your child in the past 7 days.
1	PAPxy001	In the past 7 days:	My child was cheerful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
2	PAPxy002	In the past 7 days:	My child was attentive.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
3	PAPxy006	In the past 7 days:	My child was delighted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
4	PAPxy007	In the past 7 days:	My child was inspired.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
5	PAPxy010	In the past 7 days:	My child was happy.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
6	PAPxy011	In the past 7 days:	My child was alert.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
7	PAPxy014	In the past 7 days:	My child was joyful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
8	PAPxy015	In the past 7 days:	My child was excited.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
9	PAPxy016	In the past 7 days:	My child was proud.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
10	PAPxy019	In the past 7 days:	My child was enthusiastic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
11	PAPxy021	In the past 7 days:	My child was interested.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
12	PAPxy022	In the past 7 days:	My child was confident.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
			You will see statements that describe children's reactions to different situations. We would like you to tell us what your child's reaction would be in those situations. Select the answer that best describes how true each statement is for your child. If you cannot answer one of the items because you have never seen your child in that situation, then select NA (not applicable).
13	PAPxy095	My child…	Thinks it would be exciting to move to a new city.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
14	PAPxy096	My child…	Is energized by being in large crowds of people.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
15	PAPxy097	My child…	Would be frightened by the thought of skiing fast down a steep slope.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
16	PAPxy099	My child…	Wouldn't be afraid to try a risky sport, like deep-sea diving.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
17	PAPxy100	My child…	Wouldn't be afraid to try something like mountain climbing.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
18	PAPxy115	My child…	Would like driving a race car.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
19	PAPxy116	My child…	Wouldn't want to go on the frightening rides at the fair.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
20	PAPxy117	My child…	Likes it when something exciting and different happens at school.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
21	PAPxy118	My child…	Wouldn't be afraid to skateboard or ride a bike really fast down a steep hill.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Early Adolescent Temperament Questionnaire - Revised
22	PAPxy119	My child…	Enjoys exciting and suspenseful TV shows.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Temperament in Middle Childhood Questionnaire
23	PAPxy120	My child…	Likes exploring new places.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Temperament in Middle Childhood Questionnaire
24	PAPxy122	My child…	Likes to go high and fast on the swings.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Temperament in Middle Childhood Questionnaire
25	PAPxy123	My child…	Enjoys playing chase.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Temperament in Middle Childhood Questionnaire
26	PAPxy125	My child…	Likes going down high slides or other adventurous activities.	1 = Almost always untrue of your child 2 = Usually untrue of your child 3 = Sometimes true, sometimes untrue of your child 4 = Usually true of your child 5 = Almost always true of your child NA = Not applicable	Temperament in Middle Childhood Questionnaire
Life Satisfaction
			For the next set of questions, indicate how much you agree or disagree with each statement.
27	PAPxy066	Indicate how much you agree or disagree:	My child's life is going well.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
28	PAPxy067	Indicate how much you agree or disagree:	My child's life is just right.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
29	PAPxy068	Indicate how much you agree or disagree:	My child would like to change many things in his/her life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
30	PAPxy069	Indicate how much you agree or disagree:	My child wishes he/she had a different kind of life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
31	PAPxy070	Indicate how much you agree or disagree:	My child has a good life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
32	PAPxy071	Indicate how much you agree or disagree:	My child has what he/she wants in life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
33	PAPxy072	Indicate how much you agree or disagree:	My child's life is better than most kids' lives.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
34	PAPxy100		How satisfied is your child with his/her school work?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
35	PAPxy101		How satisfied is your child with his/her household chores and responsibilities?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much 6 = Does not apply	National Survey of Children
36	PAPxy103		How satisfied is your child with his/her hobbies and free time activities?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
37	PAPxy104		How satisfied is your child with the clothes, games, toys, and other things he/she has?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
38	PAPxy105		How satisfied is your child with how much time he/she gets from his/her parents?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
39	PAPxy106		How satisfied is your child with how much attention he/she gets from his/her parents?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
40	PAPxy108		How satisfied is your child with the friends he/she has?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
41	PAPxy110		How satisfied is your child with his/her size and appearance?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
42	PAPxy112		How satisfied is your child with his/her skills and talents?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
43	PAPxy113		How satisfied is your child with the neighborhood and community in which he/she lives?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children

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Sheet 11: 3-7 PA (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 3-7 PA (PROXY)
Item Count	Concept ID	Item Context	Item Stem	Response	Scale
Postive Feeling States
			For the next set of questions, please tell us how true each statement was of your child in the past 7 days.
1	PAPxy001	In the past 7 days:	My child was cheerful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
2	PAPxy006	In the past 7 days:	My child was delighted.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
3	PAPxy007	In the past 7 days:	My child was inspired.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
4	PAPxy010	In the past 7 days:	My child was happy.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
5	PAPxy011	In the past 7 days:	My child was alert.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
6	PAPxy014	In the past 7 days:	My child was joyful.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
7	PAPxy019	In the past 7 days:	My child was enthusiastic.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
8	PAPxy021	In the past 7 days:	My child was interested.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
9	PAPxy022	In the past 7 days:	My child was confident.	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	PANAS-X
			You will see statements that describe children's reactions to different situations. We would like you to tell us what your child's reaction would be in those situations. Select the answer that best describes how true each statement is for your child. If you cannot answer one of the items because you have never seen your child in that situation, then select NA (not applicable).
10	PAPxy127	Within the past 6 months, my child...	Enjoys funny stories, but usually doesn't laugh at them.	1 = Extremely untrue 2 = Quite untrue 3 = Slightly untrue 4 = Neither true nor untrue 5 = Slightly true 6 = Quite true 7 = Extremely true NA = Not applicable	Children's Behavior Questionnaire - Smiling & Laughter
11	PAPxy129	Within the past 6 months, my child...	Hardly ever laughs out loud during play with other children.	1 = Extremely untrue 2 = Quite untrue 3 = Slightly untrue 4 = Neither true nor untrue 5 = Slightly true 6 = Quite true 7 = Extremely true NA = Not applicable	Children's Behavior Questionnaire - Smiling & Laughter
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
12	PAPxy133	Within the past 6 months, my child...	Gets very enthusiastic about the things s/he does.	1 = Extremely untrue 2 = Quite untrue 3 = Slightly untrue 4 = Neither true nor untrue 5 = Slightly true 6 = Quite true 7 = Extremely true NA = Not applicable	Children's Behavior Questionnaire - Approach/Positive Anticipation
13	PAPxy136	Within the past 6 months, my child...	Often laughs out loud in play with other children.	1 = Extremely untrue 2 = Quite untrue 3 = Slightly untrue 4 = Neither true nor untrue 5 = Slightly true 6 = Quite true 7 = Extremely true NA = Not applicable	Children's Behavior Questionnaire - Smiling & Laughter
14	PAPxy137	Within the past 6 months, my child...	Rarely laughs aloud while watching TV or movie comedies.	1 = Extremely untrue 2 = Quite untrue 3 = Slightly untrue 4 = Neither true nor untrue 5 = Slightly true 6 = Quite true 7 = Extremely true NA = Not applicable	Children's Behavior Questionnaire - Smiling & Laughter
Life Satisfaction
			For the next set of questions, please indicate how much you agree or disagree with each statement.
15	PAPxy066	Indicate how much you agree or disagree:	My child's life is going well.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
16	PAPxy067	Indicate how much you agree or disagree:	My child's life is just right.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
17	PAPxy068	Indicate how much you agree or disagree:	My child would like to change many things in his/her life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
18	PAPxy069	Indicate how much you agree or disagree:	My child wishes he/she had a different kind of life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
19	PAPxy070	Indicate how much you agree or disagree:	My child has a good life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
20	PAPxy071	Indicate how much you agree or disagree:	My child has what he/she wants in life.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
21	PAPxy072	Indicate how much you agree or disagree:	My child's life is better than most kids' lives.	1 = Strongly disagree 2 = Disagree 3 = Neither agree nor disagree 4 = Agree 5 = Strongly agree	Students' Life Satisfaction Scale (Huebner)
22	PAPxy100		How satisfied is your child with his/her school work?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much 6 = Does not apply	National Survey of Children
23	PAPxy103		How satisfied is your child with his/her hobbies and free time activities?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much 6 = Does not apply	National Survey of Children
24	PAPxy104		How satisfied is your child with the clothes, games, toys, and other things he/she has?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
25	PAPxy106		How satisfied is your child with how much attention he/she gets from his/her parents?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
26	PAPxy109		How satisfied is your child with how he/she gets along with his/her friends?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
27	PAPxy110		How satisfied is your child with his/her size and appearance?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
28	PAPxy112		How satisfied is your child with his/her skills and talents?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children
29	PAPxy113		How satisfied is your child with the neighborhood and community in which he/she lives?	1 = Not at all 2 = A little bit 3 = Somewhat 4 = Quite a bit 5 = Very much	National Survey of Children

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Sheet 12: 18+ S&SE (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 18+ S&SE (SELF)
Item count	Toolbox ID	Proposed Item Context	Proposed Item Stem	Proposed Responses	Scale
Perceived Stress
			For the next questions, you will be asked about your feelings and thoughts during the past month.
1	SC001	In the past month…	How often have you been upset because of something that happened unexpectedly?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
2	SC002	In the past month…	How often have you felt that you were unable to control the important things in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
3	SC003	In the past month…	How often have you felt nervous and “stressed”?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
4	SC004	In the past month…	How often have you dealt successfully with day to day problems and annoyances?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
5	SC005	In the past month…	How often have you felt that you were effectively coping with important changes that were occurring in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
6	SC006	In the past month…	How often have you felt confident about your ability to handle your personal problems?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
7	SC007	In the past month…	Hhow often have you felt that things were going your way?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
8	SC008	In the past month…	How often have you found that you could not cope with all the things that you had to do?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
9	SC009	In the past month…	How often have you been able to control irritations in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
10	SC010	In the past month…	How often have you felt that you were on top of things?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
11	SC011	In the past month…	How often have you been angered because of things that happened that were outside of your control?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
12	SC012	In the past month…	How often have you found yourself thinking about things that you have to accomplish?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
13	SC013	In the past month…	How often have you been able to control the way you spend your time?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
14	SC014	In the past month…	How often have you felt difficulties were piling up so high that you could not overcome them?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	PSS-14
15	SC004m	In the past month…	How often have you dealt successfully with day to day problems and things that bother you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
Coping Self-Efficacy
			For the next set of questions, please read each sentence and decide how true it is of you in general.
16	GSE01	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
17	GSE02	Please read the sentence and decide how true it is of you in general.	If someone opposes me, I can find the means and ways to get what I want.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
18	GSE03	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my aims and accomplish my goals.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
19	GSE04	Please read the sentence and decide how true it is of you in general.	I am confident that I could deal efficiently with unexpected events.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
20	GSE05m	Please read the sentence and decide how true it is of you in general.	Thanks to my talents and skills, I know how to handle unexpected situations.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
21	GSE06m	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
22	GSE07m	Please read the sentence and decide how true it is of you in general.	I stay calm when facing difficulties because I can handle them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
23	GSE08m	Please read the sentence and decide how true it is of you in general.	When I have a problem, I can usually find several ways to solve it.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
24	GSE09	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
25	GSE10	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES
Coping Self-Efficacy
			For the next set of questions, please read each sentence and decide how true it is of you in general.
26	SC051	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
27	SC052	Please read the sentence and decide how true it is of you in general.	If someone opposes me, I can find the means and ways to get what I want.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
28	SC053	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my aims and accomplish my goals.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
29	SC054	Please read the sentence and decide how true it is of you in general.	I am confident that I could deal efficiently with unexpected events.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
30	SC055	Please read the sentence and decide how true it is of you in general.	Thanks to my resourcefulness, I know how to handle unforeseen situations.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
31	SC056	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I invest the necessary effort.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
32	SC057	Please read the sentence and decide how true it is of you in general.	I can remain calm when facing difficulties because I can rely on my coping abilities.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
33	SC058	Please read the sentence and decide how true it is of you in general.	When I am confronted with a problem, I can usually find several solutions.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
34	SC059	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES
35	SC060	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES

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Sheet 13: 13-17 S&SE (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 13-17 S&SE (SELF)
Item Count	Concept ID	Item Context	Item Stem - 13-17 yo SELF	Responses	Scale
Perceived Stress
			For the next questions, you will be asked about your feelings and thoughts during the past month.
1	SC001	In the past month…	How often have you been upset because of something that happened unexpectedly?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
2	SC002	In the past month…	How often have you felt that you were unable to control the important things in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
3	SC003	In the past month…	How often have you felt nervous and “stressed”?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
4	SC004m	In the past month…	How often have you dealt successfully with day to day problems and things that bother you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
5	SC005m	In the past month…	How often have you felt that you were effectively handling important changes that were occurring in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
6	SC006	In the past month…	How often have you felt confident about your ability to handle your personal problems?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
7	SC007	In the past month…	How often have you felt that things were going your way?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
8	SC008m	In the past month…	How often have you found that you could not handle (OR manage) all the things that you had to do?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
9	SC009	In the past month…	How often have you been able to control irritations in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
10	SC010	In the past month…	How often have you felt that you were on top of things?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
11	SC011	In the past month…	How often have you been angered because of things that happened that were outside of your control?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
12	SC012	In the past month…	How often have you found yourself thinking about things that you have to accomplish?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
13	SC013	In the past month…	How often have you been able to control the way you spend your time?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
14	SC014	In the past month…	How often have you felt difficulties were piling up so high that you could not overcome them?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
Self-Efficacy
			For the next set of questions, please read each sentence and decide how true it is of you in general.
15	GSE01	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES01
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
16	GSE02m	Please read the sentence and decide how true it is of you in general.	If someone tries to keep me from getting what I want, I can find a way to get what I want.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES02
17	GSE03m	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my goals and reach them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES03
18	GSE04m	Please read the sentence and decide how true it is of you in general.	I am confident that I could do a good job dealing with unexpected events.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES04
19	GSE05m	Please read the sentence and decide how true it is of you in general.	Thanks to my talents and skills, I know how to handle unexpected situations.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES05
20	GSE06m	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES06
21	GSE07m	Please read the sentence and decide how true it is of you in general.	I can stay calm when facing difficulties because I can handle them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES07
22	GSE08m	Please read the sentence and decide how true it is of you in general.	When I have a problem, I can usually find several ways to solve it.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES08
23	GSE09	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES09
24	GSE10	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES10
			For the next set of questions, please read each sentence and decide how true it was of you in the past month.
25	HIF03	In the past month…	I was in control of how often I felt mad.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
26	HIF06	In the past month…	When I felt happy, I could control or change how happy I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
27	HIF09	In the past month…	I was in control of how often I felt excited.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
28	HIF12	In the past month…	When I felt sad, I could control or change how sad I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
29	HIF15	In the past month…	I was in control of how often I felt scared.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
30	HIF18	In the past month…	When I felt mad, I could control or change how mad I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
31	HIF21	In the past month…	I was in control of how often I felt happy.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
32	HIF24	In the past month…	When I felt excited, I could control or change how excited I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
33	HIF27	In the past month…	I was in control of how often I felt sad.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
34	HIF30	In the past month…	When I felt scared, I could control or change how scared I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
			For the next set of questions, please read each sentence and decide how true it is of you in general.
35	SC051	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES01
36	SC052m	Please read the sentence and decide how true it is of you in general.	If someone tries to keep me from getting what I want, I can find a way to get what I want.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES02
37	SC053m	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my goals and reach them.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES03
38	SC054m	Please read the sentence and decide how true it is of you in general.	I am confident that I could do a good job dealing with unexpected events.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES04
39	SC055m	Please read the sentence and decide how true it is of you in general.	Thanks to my talents and skills, I know how to handle unexpected situations.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES05
40	SC056m	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I try hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES06
41	SC057	Please read the sentence and decide how true it is of you in general.	I can remain calm when facing difficulties because I can rely on my coping abilities.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES07
42	SC058m	Please read the sentence and decide how true it is of you in general.	When I have a problem, I can usually find several ways to solve it.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES08
43	SC059	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES09
44	SC060	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES10

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Sheet 14: 8-12 S&SE (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-12 S&SE (SELF)
Item Count	Variable Name	Item Context	Item Stem	Responses	Scale
Perceived Stress
			For the next questions, you will be asked about your feelings and thoughts during the past month.
1	SC001m2	In the past month…	How often have you been upset when something happened that you didn't expect?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
2	SC002m	In the past month…	How often have you felt that you could not control something important to you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
3	SC003	In the past month…	How often have you felt nervous and “stressed”?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
4	SC004m	In the past month…	How often have you dealt successfully with day to day problems and things that bother you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
5	SC005m2	In the past month…	How often have you felt that you were able to handle things that changed in your life?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
6	SC006m	In the past month…	How often have you felt like you could handle your personal problems?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
7	SC007	In the past month…	How often have you felt that things were going your way?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
8	SC008m	In the past month…	How often have you found that you could not handle (OR manage) all the things that you had to do?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
9	SC009m	In the past month…	How often have you been able to calm yourself down when you get upset?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
10	SC010m	In the past month…	How often have you felt like things were going well for you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
11	SC011m	In the past month…	How often did you get mad because you couldn't do something?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
12	SC012m	In the past month…	How often have you found yourself thinking about things that you have to do?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
13	SC013m	In the past month…	How often have you been able to decide how you spend your time?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
14	SC014m	In the past month…	How often have you felt like things were getting worse and worse for you?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
Self-Efficacy
			For the next set of questions, please read each sentence and decide how true it is of you in general.
15	GSE01	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES01
16	GSE02m	Please read the sentence and decide how true it is of you in general.	If someone tries to keep me from getting what I want, I can find a way to get what I want.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES02
17	GSE03m	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my goals and reach them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES03
18	GSE04m	Please read the sentence and decide how true it is of you in general.	I am confident that I could do a good job dealing with unexpected events.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES04
19	GSE05m	Please read the sentence and decide how true it is of you in general.	Thanks to my talents and skills, I know how to handle unexpected situations.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES05
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
20	GSE06m	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I try hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES06
21	GSE07m	Please read the sentence and decide how true it is of you in general.	I can stay calm when facing difficulties because I can handle them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES07
22	GSE08m	Please read the sentence and decide how true it is of you in general.	When I have a problem, I can usually find several ways to solve it.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES08
23	GSE09	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES09
24	GSE10	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES10
			For the next set of questions, please read each sentence and decide how true it was of you in the past month.
25	HIF03	In the past month…	I was in control of how often I felt mad.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
26	HIF06	In the past month…	When I felt happy, I could control or change how happy I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
27	HIF09	In the past month…	I was in control of how often I felt excited.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
28	HIF12	In the past month…	When I felt sad, I could control or change how sad I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
29	HIF15	In the past month…	I was in control of how often I felt scared.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
30	HIF18	In the past month…	When I felt mad, I could control or change how mad I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
31	HIF21	In the past month…	I was in control of how often I felt happy.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
32	HIF24	In the past month…	When I felt excited, I could control or change how excited I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
33	HIF27	In the past month…	I was in control of how often I felt sad.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
34	HIF30	In the past month…	When I felt scared, I could control or change how scared I felt.	1 = Not at all true of me 2 = A little true of me 3 = Somewhat true of me 4 = Pretty true of me 5 = Very true of me	How I Feel
			For the next set of questions, please read each sentence and decide how true it is of you in general.
35	SC051	Please read the sentence and decide how true it is of you in general.	I can always manage to solve difficult problems if I try hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES01
36	SC052m	Please read the sentence and decide how true it is of you in general.	If someone tries to keep me from getting what I want, I can find a way to get what I want.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES02
37	SC053m	Please read the sentence and decide how true it is of you in general.	It is easy for me to stick to my goals and reach them.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES03
38	SC054m	Please read the sentence and decide how true it is of you in general.	I am confident that I could do a good job dealing with unexpected events.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES04
39	SC055m	Please read the sentence and decide how true it is of you in general.	Thanks to my talents and skills, I know how to handle unexpected situations.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES05
40	SC056m	Please read the sentence and decide how true it is of you in general.	I can solve most problems if I try hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES06
41	SC057m	Please read the sentence and decide how true it is of you in general.	I can stay calm when facing difficulties because I can handle them.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES07
42	SC058m	Please read the sentence and decide how true it is of you in general.	When I have a problem, I can usually find several ways to solve it.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES08
43	SC059	Please read the sentence and decide how true it is of you in general.	If I am in trouble, I can usually think of a solution.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES09
44	SC060	Please read the sentence and decide how true it is of you in general.	I can usually handle whatever comes my way.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES10

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Sheet 15: 8-12 S&SE (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-12 S&SE (PROXY)
Item Count	ID #	Item Context	Item Stem	Responses	Scale
Perceived Stress
			For the next questions, you will be asked about your child’s feelings and thoughts during the past month.
1	SCPxy001m	In the past month…	How often was your child upset because of something that happened unexpectedly?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
2	SCPxy002m	In the past month…	How often did your child appear frustrated by being unable to control or do something?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
3	SCPxy003	In the past month…	How often did your child appear nervous and “stressed”?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
4	SCPxy004m	In the past month…	How often did your child deal successfully with day to day problems and annoyances?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
5	SCPxy005m	In the past month…	How often did your child seem to cope effectively with important changes that were occurring?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
6	SCPxy006m	In the past month…	How often did your child appear confident about his or her ability to handle personal problems?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
7	SCPxy007m	In the past month…	How often did your child seem to feel things were going well?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
8	SCPxy008m	In the past month…	How often did your child seem unable to cope with all the things that had to be done?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
9	SCPxy009m	In the past month…	How often did your child seem able to control life's irritations?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
10	SCPxy010m	In the past month…	How often did it seem that life was going well for your child?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
11	SCPxy011m	In the past month…	How often did your child appear angered by things that happened outside of his/her control?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
12	SCPxy012m	In the past month…	How often did your child appear to be thinking about things that had to be done?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
13	SCPxy013m	In the past month…	How often could your child choose how to spend spare time?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
14	SCPxy014m	In the past month…	How often did difficulties pile up so high that your child did not seem able to overcome them?	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	MODIFIED PSS-14
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
Coping Self-Efficacy
			For the next set of questions, please read each sentence and decide how true it is of your child in general.
15	PxyGSE01	Please read the sentence and decide how true it is of your child in general.	Your child seems to believe that he/she can always manage to solve difficult problems if he/she tries hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES01
16	PxyGSE02m	Please read the sentence and decide how true it is of your child in general.	If someone opposes your child, he/she can find the means and ways to get what he/she wants.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES02
17	PxyGSE03m	Please read the sentence and decide how true it is of your child in general.	It is easy for your child to stick to his/her goals and reach them.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES03
18	PxyGSE04m	Please read the sentence and decide how true it is of your child in general.	Your child appears confident that he/she could do a good job dealing with unexpected events.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES04
19	PxyGSE05m	Please read the sentence and decide how true it is of your child in general.	Thanks to your child's talents and skills, he/she knows how to handle unexpected situations.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES05
20	PxyGSE06m	Please read the sentence and decide how true it is of your child in general.	Your child believes he/she can solve most problems if he/she tries hard enough.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES06
21	PxyGSE07m	Please read the sentence and decide how true it is of your child in general.	Your child can remain calm when facing difficulties because he/she can rely on his/her coping abilities.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES07
22	PxyGSE08m	Please read the sentence and decide how true it is of your child in general.	When your child is confronted with a problem, he/she can usually find several solutions.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES08
23	PxyGSE09	Please read the sentence and decide how true it is of your child in general.	If your child is in trouble, he/she can usually think of a solution.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES09
24	PxyGSE10	Please read the sentence and decide how true it is of your child in general.	Your child can usually handle whatever comes his/her way.	1 = Never 2 = Almost Never 3 = Sometimes 4 = Fairly Often 5 = Very Often	mGSES10
			For the next set of questions, please read each sentence and decide how true it was of your child in the past month.
25	PedHIF03	In the past month…	Your child was in control of how often he/she felt mad.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
26	PedHIF06	In the past month…	When your child felt happy, he/she could control or change how happy he/she felt.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
27	PedHIF09	In the past month…	Your child was in control of how often he/she felt excited.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
28	PedHIF12	In the past month…	When your child felt sad, he/she could control or change how sad he/she felt.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
29	PedHIF15	In the past month…	Your child was in control of how often he/she felt scared.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
30	PedHIF18	In the past month…	When your child felt mad, he/she could control or change how mad he/she felt.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
31	PedHIF21	In the past month…	Your child appeared in control of how often he/she felt happy.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
32	PedHIF24	In the past month…	When your child felt excited, he/she appeared in control of how excited he/she felt.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
33	PedHIF27	In the past month…	Your child appeared in control of how often he/she felt sad.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
34	PedHIF30	In the past month…	When your child felt scared, he/she appeared in control of how scared he/she felt.	1 = Not at all true of your child 2 = A little true of your child 3 = Somewhat true of your child 4 = Pretty true of your child 5 = Very true of your child	How I Feel
			For the next set of questions, please read each sentence and decide how true it is of your child in general.
35	PedSC051	Please read the sentence and decide how true it is of your child in general.	Your child seems to believe that he/she can always manage to solve difficult problems if he/she tries hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES01
36	PedSC052m	Please read the sentence and decide how true it is of your child in general.	If someone opposes your child, he/she can find the means and ways to get what he/she wants.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES02
37	PedSC053m	Please read the sentence and decide how true it is of your child in general.	It is easy for your child to stick to his/her goals and reach them.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES03
38	PedSC054m	Please read the sentence and decide how true it is of your child in general.	Your child appears confident that he/she could do a good job dealing with unexpected events.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES04
39	PedSC055m	Please read the sentence and decide how true it is of your child in general.	Thanks to your child's talents and skills, he/she knows how to handle unexpected situations.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES05
40	PedSC056m	Please read the sentence and decide how true it is of your child in general.	Your child believes he/she can solve most problems if he/she tries hard enough.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES06
41	PedSC057m	Please read the sentence and decide how true it is of your child in general.	Your child can remain calm when facing difficulties because he/she can rely on his/her coping abilities.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES07
42	PedSC058m	Please read the sentence and decide how true it is of your child in general.	When your child is confronted with a problem, he/she can usually find several solutions.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES08
43	PedSC059	Please read the sentence and decide how true it is of your child in general.	If your child is in trouble, he/she can usually think of a solution.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES09
44	PedSC060	Please read the sentence and decide how true it is of your child in general.	Your child can usually handle whatever comes his/her way.	1 = Not at all true 2 = Hardly true 3 = Moderately true 4 = Exactly true	GSES10

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Sheet 16: 18+ SR (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 18+ SR (SELF)
Item Count	ID #	Item Context	Item Stem	Responses	Scale
Social Support - Emotional Support
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
1	SOC200	In the past month, please describe how often…	I have someone who understands my problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
2	SOC203	In the past month, please describe how often…	I have someone who will listen to me when I need to talk.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
3	SOC204	In the past month, please describe how often…	I feel there are people I can talk to if I am upset.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
4	SOC205	In the past month, please describe how often…	I have someone to talk with when I have a bad day.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
5	SOC206	In the past month, please describe how often…	I have someone I trust to talk with about my problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
6	SOC207	In the past month, please describe how often…	I have someone I trust to talk with about my feelings.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Emotional
7	SOC222	In the past month, please describe how often…	I can get helpful advice from others when dealing with a problem.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Informational
8	SOC229	In the past month, please describe how often…	I have someone to turn to for suggestions about how to deal with a problem.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Informational
Social Support - Instrumental Support
9	SOC210	In the past month, please describe how often…	Someone is around to make my meals if I am unable to do it myself.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
10	SOC212	In the past month, please describe how often…	I have someone to take me shopping if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
11	SOC213	In the past month, please describe how often…	I have someone to help me if I'm sick in bed.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
12	SOC214	In the past month, please describe how often…	I have someone to pick up medicine for me if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
13	SOC215	In the past month, please describe how often…	I have someone to take me to the doctor if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
14	SOC216	In the past month, please describe how often…	There is someone around to help me if I need it.	1 - Never 2 - Rarely 3 - Sometimes 4 - Usually 5 - Always	Social Support - Instrumental
15	SOC217	In the past month, please describe how often…	I can find someone to drive me places if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
16	SOC218	In the past month, please describe how often…	I can get help cleaning up around my home if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Support - Instrumental
Companionship - Friendship
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
17	SOC230	In the past month, please describe how often…	I get invited to go out and do things with other people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
18	SOC231	In the past month, please describe how often…	I have friends I get together with to relax.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
19	SOC232	In the past month, please describe how often…	There are people around with whom to have fun.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
20	SOC233	In the past month, please describe how often…	I can find a friend when I need one.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
21	SOC237	In the past month, please describe how often…	I feel like I have lots of friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
22	SOC239	In the past month, please describe how often…	I have friends who will have lunch with me when I want.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Companionship
23	SOC246	In the past month, please describe how often…	I feel close to my friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Intimacy/Connectedness
24	SOC247	In the past month, please describe how often…	I feel like I'm part of a group of friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness - Intimacy/Connectedness
Companionship - Loneliness
25	SOC253	In the past month, please describe how often…	I feel alone and apart from others.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness- Loneliness items
26	SOC254	In the past month, please describe how often…	I feel left out.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness- Loneliness items
27	SOC255	In the past month, please describe how often…	I feel that I am no longer close to anyone.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness- Loneliness items
28	SOC260	In the past month, please describe how often…	I feel alone.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness- Loneliness items
29	SOC261	In the past month, please describe how often…	I feel lonely.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness- Loneliness items
Social Distress - Perceived Rejection/Insensitivity
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
30	SOC275	In the past month, please describe how often people in your life…	Don't listen when I ask for help.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
31	SOC276	In the past month, please describe how often people in your life…	Act like my problems aren't that important.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
32	SOC277	In the past month, please describe how often people in your life…	Let me down when I am counting on them.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
33	SOC279	In the past month, please describe how often people in your life…	Act like they don't have time for me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
34	SOC280	In the past month, please describe how often people in your life…	Act like they don't want to hear about my problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
35	SOC281	In the past month, please describe how often people in your life…	Act like they don't care about me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
36	SOC282	In the past month, please describe how often people in your life…	Act like they can't be bothered by me or my problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Insensitivity/Neglect
37	SOC286	In the past month, please describe how often people in your life…	Avoid talking to me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Rejection/Ridicule
Social Distress - Perceived Hostility
38	SOC262	In the past month, please describe how often people in your life…	Argue with me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
39	SOC263	In the past month, please describe how often people in your life…	Act in an angry way toward me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
40	SOC264	In the past month, please describe how often people in your life…	Criticize the way I do things.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
41	SOC267	In the past month, please describe how often people in your life…	Yell at me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
42	SOC268	In the past month, please describe how often people in your life…	Get mad at me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
43	SOC270	In the past month, please describe how often people in your life…	Blame me when things go wrong.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
44	SOC271	In the past month, please describe how often people in your life…	Act nasty to me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Hostility/Criticism
45	SOC288	In the past month, please describe how often people in your life…	Tease me in a mean way.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Social Distress - Rejection/Ridicule

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Sheet 17: 8-17 SR (SELF)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 8-17 SR (SELF)
Item Count	ID #	Item Context	Item Stem	Responses	Scale
Social Support - Emotional Support
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
1	SOC200	In the past month, please describe how often…	I have someone who understands my problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
2	SOC203	In the past month, please describe how often…	I have someone who will listen to me when I need to talk.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
3	SOC205	In the past month, please describe how often…	I have someone to talk with when I have a bad day.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
4	SOC216	In the past month, please describe how often…	There is someone around to help me if I need it.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
5	SOC222	In the past month, please describe how often…	I can get helpful advice from others when dealing with a problem.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
6	SOC225	In the past month, please describe how often…	I get useful advice about important things in my life.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
7	SOC226	In the past month, please describe how often…	I have someone to talk with about school problems.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Emotional Support
Social Support - Parental Relationships
Relationship with Mother
8	PedsSS06	In the past month, please describe …	How often you and your mother do things together that you enjoy.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always 6 = I have not seen or talked to my mother in the last month	NSC - National Survey of Children
9	PedsSS07	In the past month, please describe …	How often you and your mother share ideas and talk about things that really matter.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always 6 = I have not seen or talked to my mother in the last month	NSC - National Survey of Children
10	PedsSS08	In the past month, please describe …	How close you feel to your mother.	1 = Extremely close 2 = Quite close 3 = Fairly close 4 = Not very close	NSC - National Survey of Children
Relationship with Father
11	PedsSS15	In the past month, please describe …	How often you and your father do things together that you enjoy.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always 6 = I have not seen or talked to my father in the last month	NSCH - National Survey of Children
12	PedsSS16	In the past month, please describe …	How often you and your father share ideas and talk about things that really matter.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always 6 = I have not seen or talked to my father in the last month	NSCH - National Survey of Children
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
13	PedsSS17	In the past month, please describe …	How close you feel to your father.	1 = Extremely close 2 = Quite close 3 = Fairly close 4 = Not very close	NSCH - National Survey of Children
Companionship - Friendship
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
14	SOC230	In the past month, please describe how often…	I get invited to go out and do things with other people.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Friendship
15	SOC233	In the past month, please describe how often…	I can find a friend when I need one.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Friendship
16	SOC237	In the past month, please describe how often…	I feel like I have lots of friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Friendship
17	SOC239m	In the past month, please describe how often…	I have friends to sit with at lunch.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Friendship
18	SOC247	In the past month, please describe how often…	I feel like I'm part of a group of friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Friendship
Companionship - Loneliness
19	SOC252	In the past month, please describe how often…	I feel that I have nobody to talk to.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
20	SOC253	In the past month, please describe how often…	I feel alone and apart from others.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
21	SOC254	In the past month, please describe how often…	I feel left out.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
22	SOC258	In the past month, please describe how often…	I feel that I don't have any friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
23	SOC259	In the past month, please describe how often…	I feel that there is no one I can go to when I need help.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
24	SOC260	In the past month, please describe how often…	I feel alone.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
25	SOC261	In the past month, please describe how often…	I feel lonely.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Loneliness
Social Distress - Perceived Hostility
			The next questions refer to people in your daily life. This may include family members, friends, neighbors, or others you see regularly such as those at work or school. Please read each statement and describe how often each has occurred in the past month.
26	SOC262	In the past month, please describe how often people in your life…	Argue with me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Perceived Hostility
27	SOC263	In the past month, please describe how often people in your life…	Act in an angry way toward me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Perceived Hostility
28	SOC267	In the past month, please describe how often people in your life…	Yell at me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Perceived Hostility
29	SOC268	In the past month, please describe how often people in your life…	Get mad at me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Perceived Hostility
30	SOC270	In the past month, please describe how often people in your life…	Blame me when things go wrong.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Perceived Hostility
Social Distress - Perceived Rejection/Insensitivity
31	SOC276	In the past month, please describe how often people in your life…	Act like my problems aren't that important.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
32	SOC279	In the past month, please describe how often people in your life…	Act like they don't have time for me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
33	SOC281	In the past month, please describe how often people in your life…	Act like they don't care about me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
34	SOC283	In the past month, please describe how often people in your life…	Put me down.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
35	SOC287	In the past month, please describe how often people in your life…	Make me feel like I don't fit in.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
36	SOC288	In the past month, please describe how often people in your life…	Tease me in a mean way.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule
37	SOC289	In the past month, please describe how often people in your life…	Make fun of me.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	Insensitivity/Ridicule

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Sheet 18: 3-12 SR (PROXY)

EMOTIONAL HEALTH QUESTIONNAIRES FOR TOOLBOX, 3-12 SR (PROXY)
Item Count	ID #	Item Context	Item Stem	Responses	Scale
Positive Parental Relationships
			For the next set of questions, please read each statement and then decide how much each applies to your child in the past month.
1	PedPxySS01	In the past month…	Your relationship with your child was	1 = Very warm and close 2 = Somewhat warm and close 3 = Somewhat distant 4 = Very distant	NSCH - National Survey of Children's Health: Parent Support
2	PedPxySS02	In the past month, please describe…	How often your child is affectionate or tender with you.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parent Support
3	PedPxySS03	In the past month, please describe…	How often you feel that you can really trust your child.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parent Support
4	PedPxySS04	In the past month, please describe…	How well you and your child share ideas or talk about things that really matter.	1 = Very well 2 = Somewhat well 3 = Not very well 4 = Not well at all	NSCH - National Survey of Children's Health: Parent Support
5	PedPxySS05	In the past month, please describe…	How often you and your child make decisions together.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parent Support
Negative Parental Relationships
6	PedPxySD21	In the past month, please describe…	How often you have felt your child is harder to care for than most children his/her age.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parenting Stress
7	PedPxySD22	In the past month, please describe…	How often you have felt your child does things that really bother you a lot.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parenting Stress
8	PedPxySD23	In the past month, please describe…	How often you have felt angry with your child.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parenting Stress
9	PedPxySD24	In the past month, please describe…	How often you have felt that you did not understand your child.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	NSCH - National Survey of Children's Health: Parenting Stress
Companionship - Social Withdrawal
			For the next set of questions, please read each statement and then decide how much each applies to your child in the past month.
10	PedPxyLon01	In the past month, please describe…	How often your child is solitary.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Asocial with peers
11	PedPxyLon04	In the past month, please describe…	How often your child avoids peers.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Asocial with peers
12	PedPxyLon05	In the past month, please describe…	How often your child keeps peers at a distance.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Asocial with peers
13	PedPxyLon06	In the past month, please describe…	How often your child withdraws from peer activities.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Asocial with peers
Companionship - Positive Peer Interactions
14	PedPxySS08	In the past month, please describe…	How often your child plays with friends.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (support)
Public reporting burden for this collection of information is estimated to average 2 1/2 hours 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx*) EXP: (xx/xxxx). Do not return the completed form to this address.
15	PedPxySS09	In the past month, please describe…	How often your child gets along with peers of the same sex.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (support)
16	PedPxySS10	In the past month, please describe…	How often other children seek your child out for play.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (support)
17	PedPxySS11	In the past month, please describe…	How often your child gets along with peers of the opposite sex.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (support)
Social Distress - Rejection by Peers
			For the next set of questions, please read each statement and then decide how much each applies to your child in the past month.
18	PedPxySD01	In the past month, please describe…	How often your child is left out by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
19	PedPxySD02	In the past month, please describe…	How often other children refuse to let your child play with them.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
20	PedPxySD03	In the past month, please describe…	How often your child is not chosen as a playmate.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
21	PedPxySD04	In the past month, please describe…	How often your child is actively rejected by other children who refuse to play with him/her.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
22	PedPxySD05	In the past month, please describe…	How often your child is avoided by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
23	PedPxySD06	In the past month, please describe…	How often your child is not well liked by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (rejection)
24	PedPxySD07	In the past month, please describe…	How often your child is picked on by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (being bullied)
25	PedPxySD08	In the past month, please describe…	How often your child is teased and made fun of by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (being bullied)
26	PedPxySD09	In the past month, please describe…	How often your child is pushed or shoved around by other children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Peer relationships (being bullied)
Social Distress - Rejection by Siblings
27	PedPxySD11m	In the past month, please describe…	How often your child is left out by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
28	PedPxySD12m	In the past month, please describe…	How often your child's brothers or sisters refuse to let him/her play with them.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
29	PedPxySD13m	In the past month, please describe…	How often your child is not chosen as a playmate by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
30	PedPxySD14m	In the past month, please describe…	How often your child is actively rejected by his/her brothers or sisters who refuse to play with him/her.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
31	PedPxySD15m	In the past month, please describe…	How often your child is avoided by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
32	PedPxySD16m	In the past month, please describe…	How often your child is not well liked by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (rejection)
33	PedPxySD17m	In the past month, please describe…	How often your child is picked on by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (being bullied)
34	PedPxySD18m	In the past month, please describe…	How often your child is teased and made fun of by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (being bullied)
35	PedPxySD19m	In the past month, please describe…	How often your child is pushed or shoved around by his/her brothers or sisters.	0= N/A - child does not have brothers or sisters 1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health Behavior Questionnaire - Sibling relationships (being bullied)
Positive Social Development - Empathic Behavior
			For the next set of questions, please choose the answer that tells how often your child behaved that way in the past month.
36	PedPxyPSD1	In the past month, please describe…	How often your child tries to stop a fight or argument.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
37	PedPxyPSD3	In the past month, please describe…	How often your child invites other children to join in a game.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
38	PedPxyPSD4	In the past month, please describe…	How often your child tries to help someone who has been hurt.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
39	PedPxyPSD6	In the past month, please describe…	How often your child shares candies and extra food.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
40	PedPxyPSD10	In the past month, please describe…	How often your child takes the opportunity to praise the work of less able children.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
41	PedPxyPSD11	In the past month, please describe…	How often your child shows sympathy to someone who has made a mistake.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
42	PedPxyPSD12	In the past month, please describe…	How often your child offers to help other children who are having difficulty.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
43	PedPxyPSD13	In the past month, please describe…	How often your child helps other children who are feeling sick.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
44	PedPxyPSD15	In the past month, please describe…	How often your child comforts a child who is crying or upset.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale
45	PedPxyPSD18	In the past month, please describe…	How often your child claps or smiles if someone else does something well.	1 = Never 2 = Rarely 3 = Sometimes 4 = Usually 5 = Always	HBQ - MacArthur Health and Behavior Questionnaire: Prosocial Behaviors Scale