Questionnaires for teachers

Child's name *

Date of birth *

Teacher's name *

Teacher's position (for example class teacher, form tutor, head of year)

Email address *

Contact number *

1. Considerate of other people's feelings *

2. Restless, overactive, cannot stay still for long *

3. Often complains of headaches, stomach-aches or sickness *

4. Shares readily with other children (treats, toys, pencils etc.) *

5. Often has temper tantrums or hot tempers *

6. Rather solitary, tends to play alone *

7. Generally obedient, usually does what adults request *

8. Many worries, often seems worried *

9. Helpful if someone is hurt, upset or feeling ill *

10. Constantly fidgeting or squirming *

11. Has at least one good friend *

12. Often fights with other children or bullies them *

13. Often unhappy, down-hearted or tearful *

14. Generally liked by other children *

15. Easily distracted, concentration wanders *

16. Nervous or clingy in new situations, easily loses confidence *

17. Kind to younger children *

18. Often lies or cheats *

19. Picked on or bullied by other children *

20. Often volunteers to help others (parents, teachers, other children) *

21. Thinks things out before acting *

22. Steals from home, school or elsewhere *

23. Gets on better with adults than with other children *

24. Many fears, easily scared *

25. Sees tasks through to the end, good attention span *

26. Do you have any other comments or concerns? *

27. Overall, do you think that this child has difficulties in one or more of the following areas: emotions, concentration, behaviour or being able to get on with other people?

28. How long have these difficulties been present?

29. If yes, please identify which areas they are having difficulties (please select all that apply)

Emotions Concentration Behaviour Getting on with other people

30. Do the difficulties upset or distress this child?

31. Do the difficulties interfere with the child's everyday life in terms of peer relationships?

32. Do the difficulties interfere with the child's everyday life in terms of classroom teaching?

33. Do the difficulties put a burden on you or the class as a whole?

34. Does the child access/receive any specific emotional support during school hours? Please provide details