Pediatric Screening (Ages 3-5)

The following PSC screening is for educational purposes only.  Your answers to the following questions will be compared to those given by subjects with and without anxiety concerns.

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.

Directions: Please indicate which statement best describes your child.

Cognitive, Emotional and Behavioral Screening (Ages 3-5)


1. Complains of aches and pains

2. Spends more time alone

3. Tires easily, has little energy

4. Fidgety, unable to sit still

5. Acts as if driven by a motor

6. Daydreams too much

7. Distracted easily

8. Is afraid of new situations

9. Feels sad, unhappy

10. Is irritable, angry

11. Feels hopeless

12. Has trouble concentrating

13. Less interested in friendsInsert New Question

14. Fights with other children

15. Is down on him or herself

16. Visits the doctor with doctor finding nothing wrong

17. Has trouble sleeping

18. Worries a lot

19. Wants to be with you more than before

20. Feels he or she is bad

21. Takes unnecessary risks

22. Gets hurt frequently

23. Seems to be having less fun

24. Acts younger than children his or her age

25. Does not listen to rules

26. Does not show feelings

27. Does not understand other people’s feelings

28. Teases others

29. Blames others for his or her troubles

30. Takes things that do not belong to him or her

31. Refuses to share

Please complete and receive your results by email:

The above PSC screening is to be used for educational purposes only.  It is not intended to replace advise given by a qualified medical professional.  Emotional, behavioral and learning isues have profound effects on health and well being and therefore should be evaluated by a qualified medical professional.

The Pediatric Screening is adapted from the PSC.. All rights reserved.