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. 2013 Feb 22;9:51–61. doi: 10.2174/1745017901309010051

C.A.B.I.

QUESTIONNAIRE FOR PARENTS

By Carlo Cianchetti M.D., University of Cagliari, Italy

Name of child or youth:______________________________________________________________________ Sex: M□ F□ Date of birth:_______/_______/_____ Age:__________ Class:_________ Date of compilation:_____/____/_____ Compiler: mother (name)___________________________________father (name)__________________________________________