Pediatric Symptom Checklist (PSC-35), parent form

Assessment tool

Emotional and physical health go together in children. Because parents are often the first to notice a problem with their child’s behavior, emotions or learning, you may help your child get the best care possible by answering these questions. Please mark under the heading that best fits your child.

01 Complains of aches/pains
02 Spends more time alone
03 Tires easily, has little energy
04 Fidgety, unable to sit still
05 Has trouble with a teacher
06 Less interested in school
07 Acts as if driven by a motor
08 Daydreams too much
09 Distracted easily
10 Is afraid of new situations
11 Feels sad, unhappy
12 Is irritable, angry
13 Feels hopeless
14 Has trouble concentrating
15 Less interest in friends
16 Fights with others
17 Absent from school
18 School grades dropping
19 Is down on him or herself
20 Visits doctor with doctor finding nothing wrong
21 Has trouble sleeping
22 Worries a lot
23 Wants to be with you more than before
24 Feels he or she is bad
25 Takes unnecessary risks
26 Gets hurt frequently
27 Seems to be having less fun
28 Acts younger than children his or her age
29 Does not listen to rules
30 Does not show feelings
31 Does not understand other people’s feelings
32 Teases others
33 Blames others for his or her troubles
34 Takes things that do not belong to him or her
35 Refuses to share
36 Does your child have any emotional or behavioral problems for which she/he needs help? Not included in total
37 Are there any services that you would like your child to receive for these problems? Not included in total

Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.

About this scale and references
Reference information · Questionnaire
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Questionnaire
What changed in this edition
FieldInstrument context
VersionMGH English parent PSC-35; original 1988 item order; ages 6–16; two unscored help/service questions retained
PopulationChildren and adolescents aged 6–16 years; this website edition does not apply preschool scoring or youth self-report thresholds.
RespondentParent or guardian describing the child
Recall periodNo fixed recall interval specified in the selected MGH form
PurposeScreen parent-reported psychosocial functioning for concerns requiring further clinical evaluation

Administration

Use this parent form for a child aged 6–16. Select Never, Sometimes or Often for all 35 symptom statements. The website requires all 35 symptom ratings before calculating a score; the source permits limited blanks, but this website does not impute unselected answers as Never. The final two help/service questions are optional and unscored. Discuss requested service details with the clinician; this website collects no names or free-text service requests.

Scoring method

Sum the 35 symptom ratings, each coded Never=0, Sometimes=1 and Often=2, for a total of 0–70. For the selected ages 6–16 parent edition, the source US screening guide is 28 or more. Help and service requests are excluded from the total.

Interpretation & limitations

  • The threshold of 28 is a screening guide derived from US school-age populations. It identifies concerns for further evaluation and does not establish a psychiatric diagnosis. Local language, developmental and cultural context may change interpretation.
  • The preschool age-specific exclusion and threshold rules and the youth self-report version are not applied to this selected 6–16 parent edition.
  • Source scoring permits up to three blank symptom ratings to be assigned zero and considers four or more blanks invalid. This website instead requires all 35 symptom ratings; it never changes an unanswered statement into a Never response.
  • A parent request for help or services is retained even when the symptom score is incomplete. Discuss clinical concerns regardless of the total.
  • This checklist supports a clinical conversation and does not replace child/family assessment or information from other settings.
  • No automatic diagnosis, medication change or declaration of safety.
References · 3
  1. MGH exact English parent PSC-35 form; all 35 items, anchors and two help/service questions
  2. Michael S. Jellinek: free availability and electronic clinical administration · Co-developer Michael S. Jellinek states that the PSC is freely available with no charge for the tool, its use or scoring, and describes electronic clinical administration. This is a free clinical questionnaire, with source wording and developer attribution retained; no charge is made for this instrument.
  3. Developer clinical guide: scoring, ages 6–16 threshold and interpretation

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