• In the past 7 days My child was so angry he/she felt like throwing something.
• In the past 7 days I felt weak.
• In the past 7 days I became easily upset
• In the past 7 days It was hard for my child to take a deep breath because of asthma.
• In the past 4 weeks, I have to use written lists more often than other people my age so I will not forget things
• In the past 4 weeks, It is hard for me to pay attention to one thing for more than 5-10 minutes
• In the past 4 weeks, I forget things easily
• In the past 7 days, How many days were you strong enough to lift heavy things over your head?
• In the past 7 days It was hard for my child to walk one block when he/she had pain.
• In the past 7 days I felt comfortable with others my age
• In the past 7 days, How many days did your child exercise or play so hard that his/her body got tired?
• In the past 7 days I was able to count on my friends.
• In general, would you say your child's health is:
• In the past 7 days It was hard for me to have fun.
• How often do you have fun with friends?
• In the past 4 weeks, Your child has trouble keeping track of what he/she is doing if he/she gets interrupted
• Thinking about my life, I feel hopeful about my future.
• In the past 7 days, when my child was in pain he/she talked about his/her pain.
• In the past 7 days My thinking has been as fast as usual
• In the past 7 days I have been able to keep track of what I am doing, even if I am interrupted