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)__________________________________________ |