Connie Hornyak » RADQ Online Form

RADQ ANSWER SHEET

Completed by:

Mother

Father

Other (list job title below)

Job Title

Child’s Name

Child\'s Age

Date

Instructions

DIRECTIONS : Read each of the items below and circle the number that BEST describes how often your child does that behavior. If he/she usually does it (90% or more of the time), circle the 5. If he/she often does it (75% of the time), circle the 4. If he/she does it about half the time, circle the 3. If it is occasionally present (25% of the time), circle the 2. If it is rarely or never present (less than 10% of the time), circle the 1. DO NOT circle more than one number for each item, and make sure you circle a number for each item. DO NOT mark between the numbers. Please rate your child’s behaviors over the past 2 years, unless specifically asked not to for research purposes.

Key

(5) usually (4) often (3) sometimes (2) occasionally (1) rarely

1) My child acts overly cute and charms others to get them to do what he/she wants.

3) My child is overly friendly with strangers.

2) My child has trouble making eye contact when adults want him/her to.

4) My child pushes me away or becomes stiff when I try to hug him/her, unless he/she wants something from me.

5) My child argues for long periods of time, often about ridiculous things.

6) My child has a tremendous need to have control over everything, becoming very upset if things don’t go his/her way.

7) My child acts amazingly innocent, or pretends that things aren’t that bad when he/she is caught doing something wrong.

8) My child does very dangerous things, ignoring how he/she may be hurt while doing them.

9) My child deliberately breaks or ruins things.

10) My child doesn’t seem to feel age-appropriate guilt for his/her actions (lacks conscience development).

11) My child teases, hurts, or is cruel to other children.

12) My child seems unable to stop him/herself from doing things impulsively.

13) My child steals, or shows up with things that belong to others, with unusual or suspicious reasons for how he/she got them.

14) My child demands things, instead of asking for them.

15) My child doesn’t seem to learn from his/her mistakes and misbehavior (no matter what consequence I give, the child continues the behavior).

16) My child tries to get sympathy from others by telling them that I abuse and/or neglect him/her.

17) My child “shakes off’’ pain when he/she is hurt, refusing to let anyone comfort him/her.

18) My child likes to sneak things without permission, even though he/she could have had them if he/she had asked.

19) My child is a pathological liar (lies when it would be easier to tell the truth, or lies about obvious or ridiculous things).

20) My child is very bossy with other children and adults.

21) My child hoards or sneaks food, or has other unusual eating habits (eats paper, raw flour, package mixes, baker’s chocolate, etc.).

22) My child can’t keep friends for more than a week.

23) My child throws temper tantrums (screaming fits, throws stuff: hits and/or kicks walls) that last for two hours or longer.

24) My child chatters non-stop, asks repeated questions about things that make no sense, mutters, or has other oddities in his/her speech.

25) My child is accident-prone (gets hurt a lot), or complains a lot about every little ache and pain (needs constant band-aids).

26) My child teases, hurts, or is cruel to animals.

27) My child doesn’t do as well in school as he/she could with· even a little more effort.

28) My child has set fires, or is preoccupied with fire.

29) My child prefers to watch violent cartoons and/or tv shows or horror movies (regardless of whether you let him/her do this).

30) My child was abused/neglected, had severe chronic pain, had more than one change in caregiver, was separated from his/her mother for more than two days, or was in an orphanage during the first two years of his/her life.