Pediatric Symptom Checklist (PSC-17)

Please indicate which choice best describes you (or your child, if filling out for your child).

Fidgety, unable to sit still.

Feel sad.

Daydream too much.

Refuse to share.

Do not understand other people's feelings.

Feel hopeless.

Have trouble concentrating.

Fight with other children.

Feel down on yourself.

Blame others for your troubles.

Seem to be having less fun.

Do not listen to rules.

Act as if driven by a motor.

Tease others.

Worry a lot.

Take things that do not belong to you.

Distract easily.

If you would like a copy of your answers and results emailed to you, please provide your email address here:

Lakeview
(312) 508-3645
1438 West Belmont Ave.
Chicago, IL 60657

River North
(312) 584-2144
311 W Superior St., Suite 402
Chicago, IL 60654

Highland Park
(847) 241-1195
1160 Park Avenue W., Suite 6E
Highland Park, IL 60035

Wilmette
(847) 610-6763
3330 Old Glenview Rd., Suite 14
Wilmette, IL 60091