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Pediatric Symptom Checklist-Youth (PSC-Y)

Welcome to the Pediatric Symptom Checklist (PSC). This questionnaire has 35 questions that can help you understand how your emotions, behavior, and attention have been lately. Answering these questions will help you discover if there are any areas you might want to talk about with an adult, like your parent, doctor, or therapist.

How to Complete the Pediatric Symptom Checklist

Take a moment to think about how you’ve been feeling and acting lately. For each question, pick the answer that best shows how often you’ve felt or acted this way:

  • Never
  • Sometimes
  • Often

This test asks about things like feeling sad, getting distracted easily, or having trouble doing your best in school. Your answers will help you and caring adults understand how you are doing and any support that might be needed.

Once you’re done with the questionnaire, you can click the “View Results” button at the bottom of the page to see your answers. If you’re unsure about any of the questions, you can always take the test again later.

After you finish, you can share your results with a parent, doctor, or therapist to talk about any answers that might need more attention.

For each item below please mark how often you:

Complain of aches or pains
Never
Sometimes
Often
Error: *This field is required.
Spend more time alone
Never
Sometimes
Often
Error: *This field is required.
Tire easily, little energy
Never
Sometimes
Often
Error: *This field is required.
Fidgety, unable to sit still
Never
Sometimes
Often
Error: *This field is required.
Have trouble with teacher
Never
Sometimes
Often
Error: *This field is required.
Less interested in school
Never
Sometimes
Often
Error: *This field is required.
Act as if driven by motor
Never
Sometimes
Often
Error: *This field is required.
Daydream too much
Never
Sometimes
Often
Error: *This field is required.
Distract easily
Never
Sometimes
Often
Error: *This field is required.
Are afraid of new situations
Never
Sometimes
Often
Error: *This field is required.
Feel sad, unhappy
Never
Sometimes
Often
Error: *This field is required.
Are irritable, angry
Never
Sometimes
Often
Error: *This field is required.
Feel hopeless
Never
Sometimes
Often
Error: *This field is required.
Have trouble concentrating
Never
Sometimes
Often
Error: *This field is required.
Less interested in friends
Never
Sometimes
Often
Error: *This field is required.
Fight with other children
Never
Sometimes
Often
Error: *This field is required.
Absent from school
Never
Sometimes
Often
Error: *This field is required.
School grades dropping
Never
Sometimes
Often
Error: *This field is required.
Down on yourself
Never
Sometimes
Often
Error: *This field is required.
Visit doctor with doctor finding nothing wrong
Never
Sometimes
Often
Error: *This field is required.
Have trouble sleeping
Never
Sometimes
Often
Error: *This field is required.
Worry a lot
Never
Sometimes
Often
Error: *This field is required.
Want to be with parent more than before
Never
Sometimes
Often
Error: *This field is required.
Feel that you are bad
Never
Sometimes
Often
Error: *This field is required.
Take unnecessary risks
Never
Sometimes
Often
Error: *This field is required.
Get hurt frequently
Never
Sometimes
Often
Error: *This field is required.
Seem to be having less fun
Never
Sometimes
Often
Error: *This field is required.
Act younger than children your age
Never
Sometimes
Often
Error: *This field is required.
Do not listen to rules
Never
Sometimes
Often
Error: *This field is required.
Do not show feelings
Never
Sometimes
Often
Error: *This field is required.
Do not understand other people's feelings
Never
Sometimes
Often
Error: *This field is required.
Tease others
Never
Sometimes
Often
Error: *This field is required.
Blame others for your troubles
Never
Sometimes
Often
Error: *This field is required.
Take things that do not belong to you
Never
Sometimes
Often
Error: *This field is required.
Refuse to share
Never
Sometimes
Often
Error: *This field is required.
View Results
Score: 0

References

Please note: This mental health screening tool is for informational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. We recommend taking screenshots or printing your results to share with a doctor or healthcare provider. Mental Health Center Kids, LLC disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, of the use and application of these screens.