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Referral Screening – 1.1

In the last SEVEN (7) DAYS and compared to others of the same age, how well does each of the following statements describe the behaviour/feelings of your child? Please try to answer all questions.

Full name (of parent completing the questionnaire):

Full name (of child):

Is easily annoyed by others.

Often loses their temper.

Stays angry for a long time.

Is angry most of the time.

Gets angry frequently.

Loses temper easily.

Overall, irritability causes them problems.