We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

PGA Parent CDI-2 Self Report

For each of the statements below, select one response that best describes your observations of your child in the past two weeks.

My Child...

Space Cell	Not at all	Some of the time	Often	Most of the time
1. My child looks sad.	1. My child looks sad.: Not at all	1. My child looks sad.: Some of the time	1. My child looks sad.: Often	1. My child looks sad.: Most of the time
2. My child has fun.	2. My child has fun.: Not at all	2. My child has fun.: Some of the time	2. My child has fun.: Often	2. My child has fun.: Most of the time
3. My child does not like himself or herself.	3. My child does not like himself or herself.: Not at all	3. My child does not like himself or herself.: Some of the time	3. My child does not like himself or herself.: Often	3. My child does not like himself or herself.: Most of the time
4. My child blames himself or herself for things.	4. My child blames himself or herself for things.: Not at all	4. My child blames himself or herself for things.: Some of the time	4. My child blames himself or herself for things.: Often	4. My child blames himself or herself for things.: Most of the time
5. My child cries or looks tearful.	5. My child cries or looks tearful.: Not at all	5. My child cries or looks tearful.: Some of the time	5. My child cries or looks tearful.: Often	5. My child cries or looks tearful.: Most of the time
6. My child is cranky and irritable.	6. My child is cranky and irritable.: Not at all	6. My child is cranky and irritable.: Some of the time	6. My child is cranky and irritable.: Often	6. My child is cranky and irritable.: Most of the time
7. My child enjoys being with people.	7. My child enjoys being with people.: Not at all	7. My child enjoys being with people.: Some of the time	7. My child enjoys being with people.: Often	7. My child enjoys being with people.: Most of the time
8. My child thinks that he or she is ugly.	8. My child thinks that he or she is ugly.: Not at all	8. My child thinks that he or she is ugly.: Some of the time	8. My child thinks that he or she is ugly.: Often	8. My child thinks that he or she is ugly.: Most of the time
9. My child has to push himself or herself to do homework.	9. My child has to push himself or herself to do homework.: Not at all	9. My child has to push himself or herself to do homework.: Some of the time	9. My child has to push himself or herself to do homework.: Often	9. My child has to push himself or herself to do homework.: Most of the time
10. My child has trouble sleeping at night.	10. My child has trouble sleeping at night.: Not at all	10. My child has trouble sleeping at night.: Some of the time	10. My child has trouble sleeping at night.: Often	10. My child has trouble sleeping at night.: Most of the time
11. My child looks tired or fatigued.	11. My child looks tired or fatigued.: Not at all	11. My child looks tired or fatigued.: Some of the time	11. My child looks tired or fatigued.: Often	11. My child looks tired or fatigued.: Most of the time
12. My child seems lonely.	12. My child seems lonely.: Not at all	12. My child seems lonely.: Some of the time	12. My child seems lonely.: Often	12. My child seems lonely.: Most of the time
13. My child enjoys school.	13. My child enjoys school.: Not at all	13. My child enjoys school.: Some of the time	13. My child enjoys school.: Often	13. My child enjoys school.: Most of the time
14. My child spends time with friends.	14. My child spends time with friends.: Not at all	14. My child spends time with friends.: Some of the time	14. My child spends time with friends.: Often	14. My child spends time with friends.: Most of the time
15. My child is showing worse school performance than before.	15. My child is showing worse school performance than before.: Not at all	15. My child is showing worse school performance than before.: Some of the time	15. My child is showing worse school performance than before.: Often	15. My child is showing worse school performance than before.: Most of the time
16. My child does what he or she is told.	16. My child does what he or she is told.: Not at all	16. My child does what he or she is told.: Some of the time	16. My child does what he or she is told.: Often	16. My child does what he or she is told.: Most of the time
17. My child has disagreements and conflicts with others.	17. My child has disagreements and conflicts with others.: Not at all	17. My child has disagreements and conflicts with others.: Some of the time	17. My child has disagreements and conflicts with others.: Often	17. My child has disagreements and conflicts with others.: Most of the time