FBA Profiler Parent Entry

FREE FBA Profiler On-Line Behavior/Mental Health Screeing

Please provide the following information (for the child being rated).

When finished, click the "Submit Rating" button at the bottom of the page to view the report.

First Name:
 
Last Name:
 
Grade (if in school):

Age of child:

Sex of child:

 malefemale

Does this child have any of these diagnosed conditions?

 noneadhdanxietydepressionOCDODDConductThought Disorder

Does this child have any of these suspected (but not diagnosed) conditions?

 noneadhdanxietydepressionOCDODDConductThought Disorder

Do you believe that this child currently has serious emotional or behavioral difficulties which interfere in his/her life?

 yesno

Ethnic Origin:

 WhiteBlackAsianIndianHispanicMixed

State in which you live:

For the following items please select the rating that best describes the child being rated based on the scale to the right.

Note, there are 120 items, please complete them all for an accurate rating.

When finished click the "Submit Rating" button at the bottom of the page.

1
2
3
Not True
Somewhat True
Very True
1

Fails to give close attention to details

 123
2

Fidgety or squirmy

 123
3

Seems easily embarrassed

 123
4

Seems to have delusions - believes things to be true which are not

 123
5

Seems sad or depressed

 123
6

Spreads rumors about others

 123
7

Is physically cruel to animals

 123
8

Can't get mind off of certain thoughts or mental images

 123
9

Has difficulty organizing tasks or activities

 123
10

Is constantly moving or "on the go"

 123
11

Easily annoyed by others

 123
12

Sleeps too much during the day

 123
13

Seems to perform certain actions over and over to relieve stress

 123
14

Becomes angry or upset when ignored

 123
15

Avoids talking or interacting with peers

 123
16

Attempts to get others in trouble

 123
17

Complains of headaches

 123
18

Is reluctant to engage in tasks which require sustained attention or effort

 123
19

Talks too much

 123
20

Seems angry and/or resentful

 123
21

Follows negative peer influence

 123
22

Has a strong preference for being alone or isolated rather than with others

 123
23

Perceives criticism or teasing when it was not intended

 123
24

Seeks attention from others

 123
25

Loses things which are necessary to complete tasks (such as pencils, paper, books, etc.)

 123
26

Blurts out answers even before a question has been competed

 123
27

Vindictive - wants to "get back at" someone

 123
28

Slow or delayed body movements

 123
29

Does not participate in sports, clubs, or other group activities

 123
30

Easily distracted by noises or activities

 123
31

Has difficulty waiting for his/her turn

 123
32

Seems tired or lacking energy

 123
33

Seems generally anxious or nervous

 123
34

Does not follow or obey rules

 123
35

Seems forgetful

 123
36

Interrupts others

 123
37

Appears to feel guilty or worthless

 123
38

Gets angry when teased

 123
39

Has difficulty concentrating or making decisions

 123
40

Vandalizes property

 123
41

Expresses thoughts of suicide or death

 123
42

Appears shy

 123
43

Bullies, threatens, or intimidates others

 123
44

Starts fires with intent to cause damage

 123
45

Has broken into someone's house, building, locker, car, etc.

 123
46

Stays out at night beyond curfew

 123
47

Makes careless mistakes

 123
48

Leaves seat in classroom or other situations when expected to be seated

 123
49

Verbal arguments with adults

 123
50

Hallucinations - reports hearing or seeing things which others do not

 123
51

Seems to lack interest in or pleasure for most daily activities

 123
52

Tends to overreact to criticism or embarrassment

 123
53

Complains of stomachaches

 123
54

Bites or picks at fingernails, hair, or skin

 123
55

Frequent excused absences from school

 123
56

Withdraws or "shuts down" when embarrassed

 123
57

Gets angry when embarrassed

 123
58

Appears nervous when speaking or performing in front of others

 123
59

Starts fights with others

 123
60

Deliberately destroys the property of others

 123
61

Lies to or otherwise manipulates others to gain favors or avoid obligations

 123
62

Runs away from home

 123
63

Has difficulty staying focused on tasks or activities

 123
64

Loses temper

 123
65

Skips class or school

 123
66

Uses tobacco, alcohol, or other "street drugs"

 123
67

Runs about or climbs on things inappropriately

 123
68

Disorganized speech - difficult for others to follow or understand

 123
69

Significant weight change (gain or loss)

 123
70

Perfectionistic

 123
71

Complains of body aches or pains

 123
72

Teases others

 123
73

Does not complete schoolwork

 123
74

Is a negative leader among peers

 123
75

Gets angry when criticized

 123
76

Swears or uses obscene language

 123
77

Has used a weapon which could cause serious harm to others (like a knife, gun, bat, etc.)

 123
78

Has stolen from home, school or elsewhere (like shoplifting)

 123
79

Frequent unexcused absences from school

 123
80

Does not seem to listen when spoken to

 123
81

Seems restless

 123
82

Deliberately annoys others

 123
83

Grossly disorganized or unpredictable behavior without an apparent purpose

 123
84

Frequently visits the doctor or school nurse

 123
85

Seems irritable

 123
86

Verbal arguments with peers

 123
87

Complains of eye problems (not related to a need for glasses)

 123
88

Makes disruptive noises

 123
89

Does not complete chores

 123
90

Appears to resent authority

 123
91

Uses behavior to conceal frustration

 123
92

Has a high need for social acceptance

 123
93

Physical cruelty to other people

 123
94

Does not follow instructions or finish assigned tasks

 123
95

Has difficulty quietly engaging in leisure activities

 123
96

Writes threatening letters or notes

 123
97

Displays very little emotion or "affect"

 123
98

Complains of difficulty sleeping at night

 123
99

Seems tense

 123
100

Seems to have a compulsive need to repeat certain behaviors (i.e. hand washing, counting steps, saying a series of words silently or aloud, et.)

 123
101

Appears to have skin problems (rashes, etc.)

 123
102

Likes to be the "center of attention"

 123
103

Is often difficult to find - hides or disappears

 123
104

Doesn't like being told what to do

 123
105

Gets more upset if punished or criticized in front of others

 123
106

Likes to be "in charge"

 123
107

Tendency to engage is a certain impulsive reaction over and over

 123
108

Holds a grudge

 123
109

Inflexible - needing to always do things in a certain way

 123
110

Blames others for his/her mistakes or misbehavior

 123
111

Seems unable to make or keep friends

 123
112

Has considerable difficulty relating to other people

 123
113

Misinterprets social cues or the behavior of others

 123
114

Has difficulty using or understanding nonverbal communication (such as gestures, facial expressions, tone of voice, etc.)

 123
115

Demonstrates very unusual speech patterns (such as tone, rhythm, or rate)

 123
116

Has considerable difficulty initiating or maintaining a conversation

 123
117

Insists on following certain rules, routines, or rituals

 123
118

Seems very resistant to changes in activity

 123
119

Seems overly preoccupied with a specific area of interest

 123
120

Is highly sensitive to certain sensory stimuli (such as light, sound, texture, smell, etc.)

 123
 
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