CHILDREN'S BEHAVIOR QUESTIONNAIRE - Early Child Care and ...

I Site: Site #:IDate: I Imonth day Year-- -- --CHILDREN'S BEHAVIOR QUESTIONNAIRE(abbreviated Rothbart CBQ)Parent Version@%It rights reservedc:\network\insMcbq-p.qst (0611 3/97)

On the next several pages you will see a set of statements that describe children's reactions to anumber of situations. We would like you to tell us what your child's reaction is likely to be in thosesituations. Of course, there are no "correct" ways of reacting; children differ widely in their reactions,and it is these differences we are trying to learn about. Please read each statement and decidewhether it is a "m" or "untrue" description of your child's reaction within the past six months. Usethe following scale to indicate how well a statement describes your child:Circle #if the statement is:1 ............... extremely untrue of your child2 ............... quite untrue of your child3 ............... slightly atrue of your child4 ............... neither true nor false of your child5 ............... slightly true of your child6 ............... quite true of your child7 ............... extremely true of your childIf you cannot answer one of the items because you have not seen your child in that situation in thepast six months, for example if the statement is about this child's reaction to your singing and youhave not sung to himther, then circle NA (not applicable).Please be sure to circle a number or NA for eve-item.Mv child:1. Seems to always be in a bigneitherextremely qulte slightly true slightly quite extrtmelyU t e untrue untrue norfalehuny to get from oneplace to another ............. 1 2 3 4 5 6 7 NA2. Likes going down high slidesor other adventurous activities . . 1 2 3 4 5 6 7 N A3. Likes the sound of words, as innursery rhymes .............. 1 2 3 4 5 6 7 NA4. Gets so worked up before anexciting event that sfhehas trouble sitting still ......... 1 2 3 4 5 6 7 NA5. Seems to listen to evenquiet sounds ................ 1 2 3 4 5 6 7 N A6. Cries sadly when afavorite toy gets lostor broken ................... 1 2 3 4 5 6 7 N A7. Rarely gets irritatedwhen slhe makes a mistake .... 1 2 3 4 5 6 7 NA8. Calms down quickly followingan exciting event ............. 1 2 3 4 5 6 7 N A

25. Moves about activelym uextnmcly quiteuntrue untrueslightly true slightlyuntrue nor falsequite extremely--(runs, climbs, jumps) whenplaying in the house .......... 1 2 3 4 5 6 7 NA26. Is afraid of loud noises ........ 1 2 3 4 5 6 7 NA27. Has a hard time settling downafter an exciting activity ........ 1 2 3 4 5 6 7 NA28. Joins others quickly andcomfortably, even whenthey are strangers ............ 1 2 3 4 5 6 7 NA29. Does not like to take chancesfor the fun and excitementofit ....................... 1 2 3 4 5 6 7 NA30. Falls asleep within tenminutes of going to bed at night . 1 2 3 4 5 6 7 NA31. Gets quite frustrated whenprevented from doing somethingshe wants to do ......... 1 2 3 4 5 6 7 NA32. Seems to forget a bumpor scrape after a coupleof minutes .................. 1 2 3 4 5 6 7 NA33. Becomes upset when lovedrelatives or friends aregetting ready to leavefollowing a visit .............. 1 2 3 4 5 6 7 NA34. Is not afraid of the dark ........ 1 2 3 4 5 6 7 NA35. Does not usually becometearful when tired ............ 1 2 3 4 5 6 7 NA36. Comments when a parent haschanged hislher appearance ... 1 2 3 4 5 6 7 NA37. Doesn't care much for quietgames ..................... 1 2 3 4 5 6 7 NA38. Can wait before enteringinto new activities if slheisaskedto .................. 1 2 3 4 5 6 7 NA39. Gets angry when slhe can'tfind something slhe wants toplay with .................... 1 2 3 4 5 6 7 NA

Mv child:neitherextremely quite slightly true slightly quite extremelyuntrue untrue untrue nor false 1LJCZ: ---40. Herthis feelings are easilyhurt by what parents say ....... 1 2 3 4 5 6 7 NA41. Enjoys exciting andsuspenseful N shows ........ e l 2 3 4 5 6 7 NA42. Is very frightened bynightmares ................. 1 2 3 4 5 6 7 NA43. Has difficulty waiting inline for something ............ 1 2 3 4 5 6 7 NA44. Enjoys sitting on parent's lap ... 1 2 3 4 5 6 7 NA45. Becomes tearful when toldto do something slhe doesnot want to do ............... 1 2 3 4 5 6 7 NA46. Becomes very excited whileplanning for trips ............. 1 2 3 4 5 6 7 NA47. Rarely cries for more than acouple of minutes at a time ..... 1 2 3 4 5 6 7 NA48. Prefers -quiet activities toactive games ................ 1 2 3 4 5 6 7 NA49. Notices when parentsare wearing new clothing ...... 1 2 3 4 5 6 7 NA50. Acts shy around new people .... 1 2 3 4 5 6 7 NA51. as trouble sitting stillwhen slhe is told to (atmovies, church, etc.) .......... 1 2 3 4 5 6 7 NA52. Rarely cries when slhe hearsa sad story ................. 1 2 3 4 5 6 7 NA53. Rarely becomes upset whenwatching a sad event in aTVshow ................... 1 2 3 4 5 6 7 NA54. Is quickly aware of somenew item in the living room ..... 1 2 3 4 5 6 7 NA55. Becomes very excited beforean outing (e.g. picnic,party) ...................... 1 2 3 4 5 6 7 NA

My child:neitherextremely quite dightly true slightly quite extrrmely---untrue untrue untrue nor false Qyg72. Does not seem to noticeparents' facial expressions 1 2 3 4 5 6 7 NA.....73. Isn't interested in watchingquiet TV shows such as"Mister Rogers" ............. 1 2 3 4 5 6 7 NA74. Doesn't enjoy being read toverymuch ................. 1 2 3 4 5 6 7 NA75. Rarely becomes discouragedwhen sfhe has trouble makingsomething work ............. 1 2 3 4 5 6 7 NA76. Rarely protestswhen anotherchild takes hislher toy away .... 1 2 3 4 5 6 7 NA77. When angry about something,slhe tends to stay upset forten minutes or longer ......... 1 2 3 4 5 6 7 NA78. Doesn't usually react todifferent textures in food ...... 1 2 3 4 5 6 7 NA79. Is not afraid of heights ........ 1 2 3 4 5 6 7 NA80. Shows great excitement whenopening a present ........... 1 2 3 4 5 6 ,7 NA81. Can easily stop an activitywhen s/he is told "no." ........ 1 2 3 4 5 6 7 NA82. Enjoys activities such as beingchased, spun around by thearms, etc. .................. 1 2 3 4 5 6 7 NA83. Is easily distracted whenlistening to a story ........... 1 2 3 4 5 6 7 NA84. Is full of energy, even inthe evening ................ 1 2 3 4 5 6 7 NA85. Changes from being upsetto feeling much betterwithin a few minutes .......... 1 2 3 4 5 6 7 NA86. Easily gets irritated when s/hehas trouble with some task (e.g.,building, drawing, dressing) .... 1 2 3 4 5 6 7 NA

Mv child:neitherextremely quite slightly true slightly quite extremely- untrue --untrue untrue nor false true true87. Enjoys exploring new places ... 1 2 3 4 5 6 7 NA88. Enjoys just being talked to ..... 1 2 3 4 5 6 7 NA89. Gets angry when called infrom play before she isready to quit ................ 1 2 3 4 5 6 7 NA90. Enjoys "snuggling up" next toa parent or baby-sitter ........ 1 2 3 4 5 6 7 NA91. Is usually able to resisttemptation when told sthe isnot supposed to do something .. 1 2 3 4 5 6 7 NA92. Has a hard time going back tosleep after waking in the night . . 1 2 3 4 5 6 7 NA93. Has difficulty sitting stillat dinner ................... 1 2 3 4 5 6 7 NA94. '~njo~s being in crowds of people 1 2 3 4 5 6 7 NA95. Likes to sit quietly andwatch people do things ........ 1 2 3 4 5 6 7 NA96. Doesn't usually notice odorssuch as perfume, smoke,cooking, etc. ................ 1 2 3 4 5 6' 7 NA97. Gets mad when provoked byother children ............... 1 2 3 4 5 6 7 NA98. Has a hard time concentratingon an activity when there aredistracting noises ............ 1 2 3 4 5 6 7 NA99. Notices even little specksof dirt on objects ............. 1 2 3 4 5 6 7 NATHANK YOU!