Strengths and Difficulties Questionnaire I 18+

For each item, please mark the box for Not True, Somewhat True or Certainly True. It would help us if you answered all items as
best you can even if you are not absolutely certain. Please give your answers on the basis of how the person you are describing
has been over the last six months.

Name of the person you are describing .............................................................................................. Male/Female

Date of Birth (or age if you don't know date of birth) ...........................................................
Not Somewhat Certainly
True True True
Considerate of other people's feelings □ □ □
Restless, overactive, finds it hard to sit down for long
□ □ □
Often complains of headaches, stomach-aches or sickness □ □ □
Shares readily with others, for example food and drink
□ □ □
Often loses temper □ □ □
Would rather be alone than with other people □ □ □
Generally willing to do what other people want □ □ □
Many worries, often seems worried □ □ □
Helpful if someone is hurt, upset or feeling ill
□ □ □
Constantly fidgeting or squirming □ □ □
Has at least one good friend □ □ □
Often fights with others or bullies them
□ □ □
Often unhappy, down-hearted or tearful □ □ □
Generally liked by others □ □ □
Easily distracted, concentration wanders
□ □ □
Nervous in new situations, easily loses confidence □ □ □
Kind to children □ □ □
Often lies or cheats □ □ □
Picked on or bullied by others □ □ □
Often volunteers to help others (family members, friends, colleagues) □ □ □
Thinks things out before acting □ □ □
Steals from home, work or elsewhere □ □ □
Gets along better with older people than with people of his/her age □ □ □
Many fears, easily scared □ □ □
Sees tasks through to the end, good attention span □ □ □
Do you have any other comments or concerns?

Please turn over - there are a few more questions on the other side
 Overall, do you think that the person you are describing has difficulties in one or more of the following
areas: emotions, concentration, behaviour or being able to get on with other people?
Yes- Yes- Yes-
minor definite severe
No difficulties difficulties difficulties

□ □ □ □
If you have answered "Yes", please answer the following questions about these difficulties:

• How long have these difficulties been present?

□ □ □ □
• Do the difficulties upset or distress the person you are describing?
Not Only a Quite A great
at all little a lot deal

□ □ □ □
• Do the difficulties interfere with this person's everyday life in the following areas?
Not Only a Quite A great
at all little a lot deal
getting along with the people he/she is
closest to (e.g. family, partner) □ □ □ □
making and keeping friends □ □ □ □
work or study □ □ □ □
hobbies, sports or other leisure activities □ □ □ □
• Do the difficulties put a burden on you or others?

Not Only a Quite A great

□ □ □ □

Signature ............................................................................... Date ........................................

Friend / Partner/Mother/Father/Sister/Brother/Daughter/Son/Other (please specify):

Thank you very much for your help © Robert Goodman, 2009