(S)
Conners/PorentRotingScole-Revised
liy C. Keith Conners,Ph.D.
Child'sID:
Gender: NI
F
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Birthdate:__i_
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Age:
School (]rade:
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Parent's[D:
Today'sDate:_
I
I
Instructions: Bclo"vareu numberol c()nrmonproblenrsthatchildrenhlve. Pleaseratccachitem accoldingto your
child's behaviorin the lastmtlrrth. For elch itern.ask yourseit."How much ol a problcnrhas this bcen in the last
ntonth'1".andcirclethebeslanswcrtirreachone. Il'none,no1at all. scldonr,or veryinfiequently.you would circlc0.
lf very much true.or it occursvery olien or iicqucut)y.you woLrldcircle 3. You wonld circle I or 2 firr ratingsin
betweenPlease
rcspond
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DIRECTIONS
Chronological
Age:
F o r e a c hq u e s t i o n ,
c i r c l et h e n u m b e rt h a t
(required):
Gender
tr Femalen Male
Ethnicity:
b e s td e s c r i b etsh e
c h i l d ' sb e h a v i o ro v e r
Name:
Respondent's
Administration
Date:
t h e p a s t6 m o n t h s .
Relationship
to Child: n Mothern Fathern 0ther
PLEASEPRESSHARD WHENMARKINGYOURRESPONSES.
1 = NOT TRUE
2 = S O M E T I M ET
SR U E
3 = OFTEN TRUE
4 = ALMOSTATWAYSTRUE
1 . S e e m sm u c hm 0 r ef i d g e t yi n s o c i asl i t u a t i o nt h
s a nw h e na l 0 n e .
234
2 . E x p r e s s i oonns h i so r h e rf a c ed o n ' tm a t c hw h a th e o r s h ei s s a y i n g .
234
234
234
234
3 . S e e m s e l f - c o n f i d ewnht e ni n t e r a c t i nwgi t ho t h e r s
4 . W h e nu n d e sr t r e s sh, e o r s h es h o w sr i g i do r i n f l e x i b lpea t t e r nosf b e h a v i ot hr a ts e e mo d d .. .
5. Does n'rtec o g n i zweh e no th e rsa retry i n gto takeadvantage
of hi m0r her,
234
234
6 . W o u l dr a t h e br e a l o n et h a nw i t ho t h e r s .
7 . l s a w a r eo f w h a to t h e r sa r et h i n k i n g
orfeeling.
234
234
234
8 . B e h a v ei sn w a y st h a ts e e ms t r a n g 0
er bizarre.
9 . C l i n g st o a d u l t ss, e e m st o od e p e n d e o
nn
t them.
1 0 .T a k e st h i n g st o o l i t e r a l lay n dd o e s n 'gt e tt h e r e a lm e a n i n0gf a c o n v e r s a t i o. n
. ..
1 1 . H a sg o o ds e l-f c o ni fd e n c e .
234
234
1 2 . l s a b l et o c o m m u n i c aht ei so r h e rf e e l i n gtso o t h e r s .
1 3 .l s a w k w a r d
i n t u r n - t a k i ni g
nteractiow
n si t hp e e r s( e . 9 .d, o e s n 'st e e mt o u n d e r s t a nt hde
giv e- and- ta k0ef c 0 n v e rs a ti o n s. ).
1234
1 4 .l s n o tw e l lc o o r d i n a t e d .
1234
1 5 .l s a b l et o u n d e r s t a nt hde m e a n i nogf o t h e rp e 0 p l e 'tso n eo f v o i c ea n df a c i a el x p r e s s i o n.s. . . . .
1234
1 6 .A v o i d es y ec o n t a cotr h a su n u s u aely ec o n t a c t. . . . .
..........1
. .2 3 4
1 7 .R e c o g n i z w
e sh e ns 0 m e t h i ni g
s unfair.
1234
1 8 .H a sd i f f i c u l tm
y a k i n gf r i e n d se, v e nw h e nt r y i n gh i so r h e rb e s t .
1234
1 9 .G e t sf r u s t r a t etdr y i n gt o g e ti d e a sa c r o s si n c o n v e r s a t i o n s .
1234
(e.9.,mouthing
20. Showsunusual
sens0ry
interests
or spinning
objects)
or strange
ways0f playing
withtoys..... 1 2 3 4
21. l s a b l et o i m i t a t eo t h e r sa' c t i o n s .
1234
22. P l a y sa p p r o p r i a t ewl iyt hc h i l d r e h
n i s0 r h e ra g e ..
1234
23. D o e sn o tj o i ng r o u pa c t i v i t i eusn l e s tso l dt o d o s o .
1234
24. H a sm o r ed i f f i c u l ttyh a no t h e rc h i l d r e w
n i t hc h a n g eisn h i s0 r h e rr o u t i n e .
1234
25. D o e s n 'st e e mt o m i n db e i n go u to f s t e pw i t h0 r " n o to nt h e s a m ew a v e l e n g t ah s" o t h e r s
1234
26. 0f f er sc 0m fo rtto o th e rsw h e nth e ya res a d ..
1234
27. A v o i d s t a r t i n sg 0 c i ailn t e r a c t i o n
wsi t hp e e r so r a d u l t s .
1234
28. T h i n k s0 r t a l k sa b o utth es a m et h i n go v e ra n d0 v e r .
1234
29. l s r e g a r d ebdy o t h e rc h i l d r e an s 0 d do r w e i r d .
1234
30. B e c o m eusp s e ti n a s i t u a t i ow
n i t hl o t so f t h i n g sg o i n g0 n . . . .
1234
3 1 .C a n ' g
t e th i so r h e rm i n do f f s o m e t h i nogn c eh e o r s h es t a r t st h i n k i n a
g b o u it t . . . . .
1234
32. H a sg o o dp e r s o n ahly g i e n e .
1234
Continueon backpage.. .
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PLEASEPRESSHARD WHENMARKINGYOURRESPOAISES.
1 = NOT TRUE
2 = S O M E T I M ETSR U E
3 = OFTEN TRUE
4 = A L M O S TA L W A Y ST R U E
3 3 . l s s o c i a l lay w k w a r de,v e nw h e nh e 0 r s h ei s t r y i n gt o b e p o l i t e
234
w h ow a n tt o b e e m o t i o n a lcl yl o s et 0 h i mo r h e r .. .
3 4 .A v o i d sp e o p l e
234
3 5 . H a st r o u b l ke e e p i nugp w i t ht h ef l o w0 f a n 0 r m acl o n v e r s a t i o. n .
234
3 6 . H a sd i f f i c u l trye l a t i n tgo a d u l t s .
234
3 7 . H a sd i f f i c u l trye l a t i n tgo p e e r s .
234
3 8 . R e s p o n da sp p r o p r i a t teol ym o o dc h a n g ei sn o t h e r (se . 9 .w, h e na f r i e n d 'osr p l a y m a t e ' s
m o o dc h a n g ef sr o mh a p p tyo s a d ) .
23
4
39, H a sa n u n u s u a l n
l ya r r 0 wr a n g eo f i n t e r e s t s .
23
4
w i t h o ul to s i n gt o u c hw i t hr e a l i t y )
40. l s i m a g i n a t i vgeo, o da t p r e t e n d i n( g
4
42. S e e m os v e r l sy e n s i t i vt o
e s o u n d st e, x t u r e o
s ,r s m e l l s .
23
23
23
4
43. S e p a r a t eesa s i l yf r o mc a r e g i v e r s .
23
4
e n de f f e c tt)h ew a yo t h e r
44. D o e s n u
' t n d e r s t a nhdo we v e n t sr e l a t et o o n ea n o t h e(rc a u s a
c h i l d r ehni so r h e ra g ed o . . . .
2
34
2
2
2
34
4 1 .W a n d e rasi m l e s s lf yr o mo n ea c t i v i t tyo a n o t h e r
4 5 . F o c u s ehsi so r h e ra t t e n t i otno w h e r eo t h e r sa r el o o k i n o
gr listening
46. H a so v e r l sy e r i o ufsa c i ael x p r e s s i o n. s. ...
4 7 .l s t o os i l l yo r l a u g h isn a p p r o p r i a t e. l y .
48. H a sa s e n s eo f h u m o ru, n d e r s t a njdosk e s .
2
2
2
49. D o e se x t r e m e w
l ye l la t a f e wt a s k sb, u td o e sn o td o a s w e l la t m o s to t h e rt a s k s
50. H a sr e p e t i t i voed, db e h a v i osr su c ha s h a n df l a p p i nogr r o c k i n g .
5 1 .H a sd i f f i c u l tayn s w e r i nqgu e s t i o ndsi r e c t l ay n de n d su pt a l k i n ga r o u n d
t h es u b j e c t... . . .
4
34
34
34
34
34
2
2
34
2
2
34
55. K n o w w
s h e nh eo r s h ei s t o oc l o s et o s 0 m e 0 n e
z
34
56. W a l k si n b e t w e etnw o p e o p l e
w h oa r et a l k i n g .
z
34
57. G e t st e a s e da l o t .
2
34
52. K n o w w
s h e nh eo r s h ei s t a l k i n tgo ol o u do r m a k i n tgo om u c hn o i s e .
e i tha nu n u s u a
53. T alk tso peo p lw
tol n eo f v o i c e(e . 9.,
tal ksl i kea robotor l i keheorshei s gi vi ng
a l ecture).
54. S e e m st o r e a c t o p e o p l e
a s i f t h e ya r eo b j e c t s .
58. C o n c e n t r a tteoso m u c ho n p a r t so f t h i n g sr a t h etrh a ns e e i n g
t h ew h o l ep i c t u r e .
F o re x a m p l ei f, a s k e dt o d e s c r i bw
n a s t o r yh, e o r s h em a yt a l ko n l y
e h a th a p p e n ei d
a b o u t h e k i n do f c l o t h e tsh ec h a r a c t e w
r se r ew e a r i n g .
1234
59. l s o v e r l sy u s p i c i o u s
1234
60. l s e m o t i o n a d
l l iys t a n d
t ,o e s n s' th o wh i so r h e rf e e l i n g s .
1234
6 1 .l s i n f l e x i b lhea, sa h a r dt i m ec h a n g i nhgi so r h e rm i n d .
1234
62. G i v e su n u s u aol r i l l o g i c ar le a s o n{so r d o i n gt h r n g s .
1234
34
34
63. T o u c h eost h e r si n a n u n u s u awl a y( e . 9 .h, e o r s h em a yt o u c hs 0 m e o nj eu s tt o m a k e
234
64. l s t o ot e n s ei n s o c i asl e t t i n g s .
1
234
65. S t a r e so r g a z e so f f i n t os p a c e .
I
234
I
© Lesa K. Ellis & Mary K. Rothbart, 1999
Early Adolescent Temperament Questionnaire - Revised
Parent Report
Directions
On the following pages you will find a series of statements that people might use
to describe their child. The statements refer to a wide number of activities and
attitudes.
For each statement, please PUT AN X NEXT TO THE ANSWER which best
describes how true each statement is for your child. There are no best answers.
People are very different in how they feel about these statements. Then remember to
Save the file. You will use the following scale to describe how true or false a statement
is about your child:
Circle number:
If the statement is:
1
Almost always untrue of your child
2
Usually untrue of your child
3
Sometimes true, sometimes untrue of your child
4
Usually true of your child
5
Almost always true of your child
NOTE: Please make certain to answer all questions on BOTH SIDES of the
pages.
Please tell us:
Your child’s date of birth: ____________
Your child’s gender: M / F
Family ID code _________(please leave blank)
Your son or daughter:
Almost Usually
always untrue
untrue
Sometimes
true,
sometimes
untrue
Usually
true
Almost
always
true
1) Worries about getting into trouble.
1
2
3
4
5
2) When angry at someone, says thing s/he knows will
hurt that person's feelings.
1
2
3
4
5
3) Has a hard time finishing things on time.
4) Thinks traveling to Africa or India would be exciting
and fun.
1
1
2
2
3
3
4
4
5
5
5) If having a problem with someone, usually tries to
deal with it right away.
1
2
3
4
5
6) Has a hard time waiting his/her turn to speak when
excited.
1
2
3
4
5
7) Often does not seem to enjoy things as much as
his/her friends.
1
2
3
4
5
8) Opens presents before s/he is supposed to.
9) Would be frightened by the thought of skiing fast
down a steep slope.
1
1
2
2
3
3
4
4
5
5
10) Feels like crying over very little on some days.
1
2
3
4
5
11) If very angry, might hit someone.
12) Likes taking care of other people.
13) Likes to be able to share his/her private thoughts with
someone else.
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
14) Usually does something fun for awhile before starting
her/his homework, even though s/he is not supposed
to.
1
2
3
4
5
15) Finds it easy to really concentrate on a problem.
16) Thinks it would be exciting to move to a new city.
17) When asked to do something, does it right away, even
if s/he doesn't want to.
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
18) Would like to be able to spend time with a good friend
every day.
1
2
3
4
5
19) Tends to be rude to people s/he doesn't like.
20) Is annoyed by little things other kids do.
21) Gets very irritated when someone criticizes
her/him.
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
22) When interrupted or distracted, forgets what s/he was
about to say.
1
2
3
4
5
23) Is more likely to do something s/he shouldn't do the
more s/he tries to stop her/himself.
1
2
3
4
5
24) Enjoys exchanging hugs with people s/he likes.
25) Tends to try to blame mistakes on someone else.
1
1
2
2
3
3
4
4
5
5
26) Is sad more often than other people realize.
27) Can generally think of something to say, even with
strangers.
1
1
2
2
3
3
4
4
5
5
28) Wouldn't be afraid to try a risky sport like deep sea
diving.
1
2
3
4
5
29) Expresses a desire to travel to exotic places when s/he
hears about them.
1
2
3
4
5
30) Worries about our family when s/he is not with us.
1
2
3
4
5
31) Gets irritated when I will not take her/him someplace
s/he wants to go.
1
2
3
4
5
32) Slams doors when angry.
33) Is hardly ever sad, even when lots of things are going
wrong.
1
1
2
2
3
3
4
4
5
5
34) Would like driving a racing car.
1
2
3
4
5
35) Has a difficult time tuning out background noise and
concentrating when trying to study.
1
2
3
4
5
36) Usually finishes her/his homework before it’s due.
1
2
3
4
5
37) Likes it when something exciting and different
happens at school.
1
2
3
4
5
38) Usually gets started right away on difficult
assignments.
1
2
3
4
5
39) Is good at keeping track of several different things
that are happening around her/him.
1
2
3
4
5
40) Is energized by being in large crowds of people.
41) Makes fun of how other people look.
1
1
2
2
3
3
4
4
5
5
42) Doesn't criticize others.
43) Wants to have close relationships with other people.
1
1
2
2
3
3
4
4
5
5
44) Is shy.
45) Gets irritated when s/he has to stop doing something
s/he is enjoying.
1
1
2
2
3
3
4
4
5
5
46) Usually puts off working on a project until it is due.
1
2
3
4
5
47) Is able to stop him/herself from laughing at
inappropriate times.
1
2
3
4
5
48) Is afraid of the idea of me dying or leaving her/him.
1
2
3
4
5
49) Is often in the middle of doing one thing and then
goes off to do something else without finishing it.
1
2
3
4
5
50) Is not shy.
51) Is quite a warm and friendly person.
52) Sometimes seems sad even when s/he should be
enjoying her/himself like at Christmas, or on a trip.
1
1
1
2
2
2
3
3
3
4
4
4
5
5
5
53) Doesn't enjoy playing softball or baseball because s/he
is afraid of the ball.
1
2
3
4
5
54) Likes meeting new people.
55) Feels scared when entering a darkened room at night.
1
1
2
2
3
3
4
4
5
5
56) Wouldn't want to go on the frightening rides at the
fair.
1
2
3
4
5
57) Hates it when people don't agree with him/her.
58) Gets very frustrated when s/he makes a mistake in
her/his school work.
1
1
2
2
3
3
4
4
5
5
59) Is usually able to stick with his/her plans and goals.
1
2
3
4
5
60) Pays close attention when someone tells her/him how
to do something.
1
2
3
4
5
61) Is nervous being home alone.
1
2
3
4
5
62) Feels shy about meeting new people.
1
2
3
4
5