Questionnaires and Checklists

Questionnaires and Checklists from parents, health, allied health and education professionals can be helpful in identifying symptoms affecting a child's development. These questionnaires/checklists are often used in conjunction with formal evaluation and treatment plans.

• Pediatric Neuropsychology Initial Consultation/History Checklist (PDF)
• Pediatric ABC Autism Behavior Checklist- Early Identification:
  Pediatric Autism and Related Disorders Behavior Checklist (ages 18-48 months) (PDF)
• Pediatric Neuropsychology Attention Deficit Disorders/ Learning Disorders Parent-Teacher Checklist (PDF)
• Preschool Behavior Checklist (PDF)
• Symptom Checklist for Learning Difficulties (PDF)
• Pediatric Sleep Questionnaire (PDF)
• Nutrition Questionnaire (PDF)
• Brains that are Ready to Read/Dyslexia Checklist (PDF)