KMS/KHS SEL Parent Screener
SEL Parent Social-Emotional Self Assessment
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Email *
My Child's Grade: *
My child is considerate of other people's feelings *
My child is has difficulty sitting still. *
My child often complains of headaches, stomach-aches or sickness *
My child shares readily with other youth, for example games, food, etc. *
My child often loses his/her temper *
My child would rather be alone than with other youth *
My child is generally well behaved. *
My child is often worried. *
My child is helpful if someone is hurt, upset or feeling ill *
My child is constantly fidgeting or squirming *
My child has at least one good friend *
My child often fights with other children. *
My child is often happy. *
My child is generally liked by other children *
My child is nervous in new situations. *
My child often lies or cheats *
My child often offers to help others (parents, teachers, children) *
My child thinks things out before acting *
My child steals from home, school or elsewhere *
My child gets along better with adults than with other children *
My child is easily scared *
My child has a good attention span, sees chores or homework through to the end *
Overall, do you think that your child has difficulties in any of the following areas: emotions, concentration, behavior or being able to get on with other people? Check any that apply. *
Required
Do the difficulties above interfere with your child's everyday life in the following areas? *
Required
Please list what makes your child happy about the school experience. *
Please list any concerns that you have for your child. *
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