Childhood Problem with Behavior, Learning, or Emotion? Pediatric Symptom Checklist

The Pediatric Symptom Checklist is a great way for you to start a discussion with your pediatrician/family doctor when you have a concern about your child’s behavior, emotions, or learning. Simply print out the form below, fill it in, and take it to your doctor to start a discussion about your concern.

In tomorrow’s post, I’ll go over some background on the Pediatric Symptom Checklist, and on how doctors (and parents) can interpret the checklist to get the child needed help.

” 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.”*

*The PSC is available for download as a PDF at


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