5 Strengths and Difficulties Questionnaire

Attach. 12 Strengths and Difficulties Questionnaire OMB #: 0925-0661

Executive Function Expiration Date: 06/30/2015

Name of test: Strengths and Difficulties Questionnaire (SDQ)

Estimated time burden: 10 minutes

Estimated number of items: 25 items

Description:

This measure is a brief behavioral screening questionnaire. There are 25 items regarding children’s emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behaviors. This measure should be included to study concurrent validity for the Children’s Behavior Questionnaire with EF extension (CBQ-VSF+EF). The questionnaire is available in English and Spanish. The English version is included below.

Public reporting burden for this collection of information is estimated to average 10 minutes 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 (0925-0661). Do not return the completed form to this address. 1