Copyright Malvin Porter, Jr. 2010 - acumen - The University of ...

Appendix F
Teacher Online Questionnaires
Child’s ID_______________________________________ Date________________________
The Child Behavior Scale (CBS) –Teacher Report
Please consider the descriptions contained in each of the following items below and rate the extent to which each of
these descriptions applies to this child, particularly in the context of his or her behavior with peers.
For example, Circle 3—“Certainly applies” if the child often displays the behavior described in the statement, circle
2—“Applies sometimes” if the child occasionally displays the behavior, and circle 1—“Doesn’t apply” if the child
seldom displays the behavior. Please circle only one response per item.
1. How would you rate this child’s
Intellectual ability?
5 = High
4 = Above Average
3 = Average
2 = Below Average
1 = Low
2. Fights with other children.
1 = Doesn’t apply
2 = Applies sometimes
Reference Subscales:
Aggressive with Peers: Item #s 2, 4, 6, 8, 10, 12, 14
Prosocial with Peers: Item #s 3, 5, 7, 9, 11, 13, 15
3 = Certainly applies
3. Helps other children.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
4. Bullies other children.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
5. Shows a recognition of the feelings of
others; is empathic.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
6. Kicks, bites, or hits other children.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
7. Seems concerned when other children are
distressed.
1 = Doesn’t apply
2 = Applies sometimes
8. Aggressive child.
1 = Doesn’t apply
2 = Applies sometimes
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3 = Certainly applies
9. Kind toward peers.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
10. Taunts and teases other children.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
11. Cooperative with peers.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
12. Threatens other children.
1 = Doesn’t apply
2 = Applies sometimes
3 = Certainly applies
13. Shows concern for moral issues (e.g.
fairness, welfare of others).
1 = Doesn’t apply
2 = Applies sometimes