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. 2011 Mar 4;36(7):766–779. doi: 10.1093/jpepsy/jsr005

Table IA.

Parent-reported Pediatric Perceived Cognitive Function Item Bank (pedsPCF)

Item stem Rating scalea
• It is hard for your child to find his/her way to a place that he/she has visited several times before F
• Your child has trouble remembering where he/she put things, like his/her watch or his/her homework F
• Your child has trouble remembering the names of people he/she has just met F
• It is hard for your child to take notes in class I
• It is hard for your child to learn new things I
• It is hard for your child to understand pictures that show how to make something I
• It is hard for your child to pay attention to something boring he/she has to do I
• It is hard for your child to pay attention to one thing for more than 5–10 min F
• Your child has trouble recalling the names of things F
• Your child has trouble keeping track of what he/she is doing if he/she gets interrupted F
• It is hard for your child to do more than one thing at a time F
• Your child forgets what his/her parents or teachers ask him/her to do F
• Your child walks into a room and forgets what he/she wanted to get or do F
• Your child has trouble remembering the names of people he/she knows F
• It is hard for your child to add or subtract numbers in his/her head I
• Your child has trouble remembering the date or day of the week F
• When your child has a big project to do, he/she has trouble deciding where to start F
• Your child has a hard time keeping track of his/her homework I and Fb
• Your child forgets to bring things to and from school that he/she needs for homework I and Fb
• Your child forgets what he/she is going to say I and Fb
• Your child has to read things several times to understand them I and Fb
• Your child reacts slower than most people his/her age when he/she plays games I and Fb
• It is hard for your child to find the right words to say what he/she means I and Fb
• It takes your child longer than other people to get his/her school work done I and Fb
• Your child forgets things easily I and Fb
• Your child has to use written lists more often than other people his/her age so he/she will not forget things I and Fb
• Your child has trouble remembering to do things like school projects or chores I and Fb
• It is hard for your child to concentrate in school I and Fb
• Your child has trouble paying attention to the teacher I and Fb
• Your child has to work really hard to pay attention or he/she makes mistakes I and Fb

aF (Frequency): 1 = None of the time; 2 = A little of the time; 3 = Some of the time; 4 = Most of the time; 5 = All of the time; I (Intensity): 1 = Not at all; 2 = A little bit; 3 = Somewhat; 4 = Quite a bit; 5 = Very much.

bNo local dependency is found for items that share the same item stem but are measured by both frequency and intensity types of rating scales. Therefore, both ratings are retained.