Item
1. Has this child started school?
text
C0455002 (UMLS CUI [1])
Code List
1. Has this child started school?
CL Item
This child is younger than 3 years old ➔ SKIP to question H1 (1)
Item
2. How well is this child learning to do things for him or herself?
text
C0233832 (UMLS CUI [1])
Code List
2. How well is this child learning to do things for him or herself?
Item
3. How confident are you that this child will be successful in elementary or primary school?
text
C0036373 (UMLS CUI [1,1])
C0033145 (UMLS CUI [1,2])
Code List
3. How confident are you that this child will be successful in elementary or primary school?
CL Item
Very confident (1)
CL Item
Mostly confident (2)
CL Item
Somewhat confident (3)
CL Item
Not confident at all (4)
Item
4. How often can this child recognize the beginning sound of a word? For example, can this child tell you that the word “ball” starts with the “buh” sound?
text
C0037709 (UMLS CUI [1,1])
C0871615 (UMLS CUI [1,2])
Code List
4. How often can this child recognize the beginning sound of a word? For example, can this child tell you that the word “ball” starts with the “buh” sound?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
5. About how many letters of the alphabet can this child recognize?
text
C4274603 (UMLS CUI [1])
Code List
5. About how many letters of the alphabet can this child recognize?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Rhyme
Item
6. Can this child rhyme words?
boolean
C1510575 (UMLS CUI [1])
Item
7. How often can this child explain things he or she has seen or done so that you get a very good idea what happened?
text
C0681841 (UMLS CUI [1])
Code List
7. How often can this child explain things he or she has seen or done so that you get a very good idea what happened?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
8. How often can this child write his or her first name, even if some of the letters aren’t quite right or are backwards?
text
C2585325 (UMLS CUI [1])
Code List
8. How often can this child write his or her first name, even if some of the letters aren’t quite right or are backwards?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
9. How high can this child count?
text
C0750480 (UMLS CUI [1,1])
C0237753 (UMLS CUI [1,2])
Code List
9. How high can this child count?
CL Item
Up to 100 or more (6)
Item
10. How often can this child identify basic shapes such as a triangle, circle, or square?
text
C0558231 (UMLS CUI [1,1])
C0332479 (UMLS CUI [1,2])
Code List
10. How often can this child identify basic shapes such as a triangle, circle, or square?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
11. How often is this child easily distracted?
text
C0424102 (UMLS CUI [1])
Code List
11. How often is this child easily distracted?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
12. How often does this child keep working at something until he or she is finished?
text
C0086045 (UMLS CUI [1])
Code List
12. How often does this child keep working at something until he or she is finished?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
13. When he or she is paying attention, how often can this child follow instructions to complete a simple task?
text
C1719822 (UMLS CUI [1,1])
C1442085 (UMLS CUI [1,2])
Code List
13. When he or she is paying attention, how often can this child follow instructions to complete a simple task?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
14. When this child holds a pencil, does he or she use fingers to hold, or does he or she grip it in his or her fist?
text
C1948035 (UMLS CUI [1,1])
C0441059 (UMLS CUI [1,2])
Code List
14. When this child holds a pencil, does he or she use fingers to hold, or does he or she grip it in his or her fist?
CL Item
Grips in fist (1)
CL Item
Cannot hold a pencil (3)
Item
15. How often does this child play well with others?
text
C0518192 (UMLS CUI [1])
Code List
15. How often does this child play well with others?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
16. How often does this child become angry or anxious when going from one activity to another?
text
C0008065 (UMLS CUI [1,1])
C0003467 (UMLS CUI [1,2])
C0002957 (UMLS CUI [1,3])
Code List
16. How often does this child become angry or anxious when going from one activity to another?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
17. How often does this child show concern when others are hurt or unhappy?
text
C3824779 (UMLS CUI [1])
Code List
17. How often does this child show concern when others are hurt or unhappy?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
18. How often can this child calm down when excited or all wound up?
text
C1821409 (UMLS CUI [1])
Code List
18. How often can this child calm down when excited or all wound up?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
19. How often does this child lose control of his or her temper when things do not go his or her way?
text
C0424331 (UMLS CUI [1])
Code List
19. How often does this child lose control of his or her temper when things do not go his or her way?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
20. Compared to other children his or her age, how much difficulty does this child have making or keeping friends?
text
C0814596 (UMLS CUI [1])
Code List
20. Compared to other children his or her age, how much difficulty does this child have making or keeping friends?
CL Item
No difficulty (1)
CL Item
A little difficulty (2)
CL Item
A lot of difficulty (3)
Item
21. Compared to other children his or her age, how often is this child able to sit still?
text
C0443304 (UMLS CUI [1])
Code List
21. Compared to other children his or her age, how often is this child able to sit still?
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
22. In the past 12 MONTHS, were you ever asked to keep your child home from any child care or preschool because of their behavior (things like hitting, kicking, biting, tantrums or disobeying)?
text
C0004930 (UMLS CUI [1])
Code List
22. In the past 12 MONTHS, were you ever asked to keep your child home from any child care or preschool because of their behavior (things like hitting, kicking, biting, tantrums or disobeying)?
CL Item
This child did not attend child care or preschool (1)
CL Item
Yes, I was told to pick up my child early on 1 or more days (3)
CL Item
Yes, I had to keep my child home for 1 full day or more (4)
CL Item
Yes permanently, I was told my child could no longer attend this child care center or preschool (5)