Guardians and/or Parents - Rated Mental Health Symptoms Measure for Children 6 to 17 Years Old (SDV)

Instructions for Completion

Answer all the questions in this survey using the appropriate column to indicate the frequency and details of each symptom, which you may need to describe to your clinician.  You need to rate each item on a 5-point scale that best describes your child during the PAST 2 (TWO) WEEKS.

0=none or not at all

1=slight or rare, less than a day or two

2=mild or several days

3=moderate or more than half the days

4=severe or nearly every day