Survey of Well-being of Young Children: 12 Months

Welcome to your Baby Pediatric Symptom Checklist (BPSC)

Does your child have a hard time being with new people?

Does your child have a hard time in new places?

Does your child have a hard time with change?

Does your child mind being held by other people?

Does your child cry a lot?

Does your child have a hard time calming down?

Is your child fussy or irritable?

Is it hard to comfort your child?

Is it hard to keep your child on a schedule or routine?

Is it hard to put your child to sleep?

Is it hard to get enough sleep because of your child?

Does your child have trouble staying asleep?


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