Template Mental Health Strengths and Difficulties Questionnaire Template

Strengths and Difficulties Questionnaire Template

Strengths and Difficulties Questionnaire Template

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Strengths and Difficulties Questionnaire Template

Please answer the following questions base on the child's behavior over the past six months.
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*
Child Name:
*
Date of Birth:
*
Gender:
*
Considerate of other people's feelings.
Not true
Somewhat true
Certainly true
*
Restless, overactive; cannot stay still for long.
Not true
Somewhat true
Certainly true
*
Often complains of headaches, stomachaches or feeling sick.
Not true
Somewhat true
Certainly true
*
Shares readily with other children (treats, toys, pencils, etc.).
Not true
Somewhat true
Certainly true
*
Often has temper tantrums or a hot temper.
Not true
Somewhat true
Certainly true
*
Rather solitary; tends to play on their own.
Not true
Somewhat true
Certainly true
*
Generally obedient; usually does what adults request.
Not true
Somewhat true
Certainly true
*
Many worries; often seems worried.
Not true
Somewhat true
Certainly true
*
Helpful if someone is hurt, upset or feeling ill.
Not true
Somewhat true
Certainly true
*
Constantly fidgeting or squirming.
Not true
Somewhat true
Certainly true
*
Has at least one good friend.
Not true
Somewhat true
Certainly true
*
Often fights with other children or bullies them.
Not true
Somewhat true
Certainly true
*
Often unhappy, downhearted or tearful.
Not true
Somewhat true
Certainly true
*
Generally liked by other children.
Not true
Somewhat true
Certainly true
*
Easily distracted; concentration wanders.
Not true
Somewhat true
Certainly true
*
Nervous or clingy in new situations; easily loses confidence.
Not true
Somewhat true
Certainly true
*
Kind to younger children.
Not true
Somewhat true
Certainly true
*
Often lies or cheats.
Not true
Somewhat true
Certainly true
*
Is picked on or bullied by other children.
Not true
Somewhat true
Certainly true
*
Often volunteers to help others (parents, teachers, other children).
Not true
Somewhat true
Certainly true
*
Thinks things out before acting.
Not true
Somewhat true
Certainly true
*
Steals from home, school or elsewhere.
Not true
Somewhat true
Certainly true
*
Gets on better with adults than with other children.
Not true
Somewhat true
Certainly true
*
Many fears; easily scared.
Not true
Somewhat true
Certainly true
*
Sees tasks through to the end; has a good attention span.
Not true
Somewhat true
Certainly true
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Template instructions
Strengths and difficulties questionnaire template is a brief screening tool designed to assess a child's emotional and behavioral strengths and difficulties. Use this free template to collect consistent parent or teacher observations about the child's behaviour over the last six months or the current school year.

The template includes basic child information fields—name, date of birth and gender—followed by 25 standardized items. Each item asks respondents to mark Not True, Somewhat True or Certainly True so responses are easy to score and compare. Items align with commonly used clinical screening criteria and can inform referrals or further assessment.

Questions cover prosocial behaviour, conduct, hyperactivity, emotional symptoms and peer relationships, making it suitable for school staff, clinicians and researchers who need a quick, reliable snapshot of a child's functioning.

Click "Use This Template" to open, customize and start collecting responses quickly. The free template is editable to match your protocols easily.

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