• I felt weak.
• In the past 7 days My problems with memory, concentration, or making mental mistakes have interfered with the quality of my life
• In the past 7 days My child felt scared.
• In the past 7 days I needed to sleep during the day
• In the past 7 days Being tired makes me mad
• In the past 7 days My child could get up from the floor.
• In the past 7 days My child felt accepted by other kids his/her age.
• In the past 7 days My child was good at making friends.
• In the past 7 days My child and his/her friends helped each other out.
• Are you able to get on and off the toilet?
• Are you able to get out of bed into a chair?
• Are you able to run errands and shop?
• In the past 7 days I felt scared.
• Considering your shortness of breath <u>over the past 7 days</u>, rate the amount of difficulty you had when doing the following activities: Walking 50 steps/paces on flat ground at a normal speed without stopping
• In the past 7 days I felt afraid to go out alone
• In the past 7 days I found it hard to focus on anything other than my anxiety
• In the past 7 days Other kids wanted to be my child's friend.
• In the past 7 days I had pain
• In the past 7 days I had trouble stopping my thoughts at bedtime
• In the past 7 days My child could open the rings in school binders.