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. 2006 May;15(2):64–74.

Table 1.

Somatization Subscale of the Child Behavior Checklist (CBCL)

0 = Not True (as far as you know)
1 = Somewhat or Sometimes True
2 = Very True or Often True
0 1 2 1. Feels dizzy
0 1 2 2. Overtired
3. Physical problems without known medical cause:
0 1 2  a. Aches or pains (not stomach or headaches)
0 1 2  b. Headaches
0 1 2  c. Nausea, feels sick
0 1 2  d. Problems with eyes (not if corrected by glasses)
(describe): ____________________
0 1 2  e. Rashes or other skin problems
0 1 2  f. Stomach aches or cramps
0 1 2  g. Vomiting, throwing up

Reproduced by permission from Achenbach, T. M. (1991). Manual for the Child Behavior Checklist /4–18 and 1991 Profile. Burlington, Vt: University of Vermont Department of Psychiatry.