Child Health Survey
  • Rate your child’s behavior according to the following aspects:

     
    • Not at all
    •  
    • Extremely
    Friendliness
    Cooperation
    Kindness
    Empathy
    Patience
    Well-mannered
  • In general, how healthy would you say your child is?
  • Has your child ever complained of pain or discomfort?

  • Please elaborate

  • Has your child ever been prevented from doing physical activities due to health problems?

  • Please elaborate

  • Has your child ever had problems with friends or family due to emotional problems or behavioral difficulties?

  • Please elaborate

  • Has your child had bodily pain or discomfort for an extended period of time?
  • Please elaborate

  • How well-socialized is your child?
  • How often does your child complain of fatigue?
  • In general, how well does your family get along with one another?

That's all, folks!

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