Physical health |
It is hard for me to walk more than one block |
8 |
12 |
17 |
0 |
0 |
It is hard for me to run |
8 |
20 |
25 |
2 |
6 |
It is hard for me to do sports activity or exercise |
17 |
15 |
29 |
2 |
8 |
It is hard for me to lift something heavy |
8 |
20 |
24 |
3 |
2 |
It is hard for me to take a bath or shower by myself |
8 |
6 |
26 |
0 |
0 |
It is hard for me to do chores around the house |
3 |
14 |
17 |
0 |
2 |
I hurt or ache |
5 |
7 |
12 |
5 |
18 |
I have low energy |
10 |
20 |
24 |
4 |
8 |
Emotional functioning |
I feel afraid or scared |
6 |
11 |
5 |
3 |
6 |
I feel sad or blue |
3 |
9 |
10 |
5 |
12 |
I feel angry |
21 |
16 |
20 |
3 |
8 |
I have troubling sleeping |
13 |
13 |
12 |
7 |
6 |
I worry about what will happen to me |
11 |
12 |
10 |
4 |
6 |
Social functioning |
I have trouble getting along with other kids |
11 |
7 |
2 |
1 |
4 |
Other kids do not want to be my friend |
6 |
3 |
7 |
3 |
2 |
Other kids tease me |
3 |
4 |
0 |
2 |
4 |
I cannot do things that other kids my age can do |
21 |
23 |
34 |
1 |
8 |
It is hard for me to keep up when I play with other kids |
8 |
14 |
19 |
1 |
0 |
School functioning |
It is hard to pay attention in class |
13 |
20 |
13 |
6 |
6 |
I forget things |
19 |
18 |
23 |
8 |
6 |
I have trouble keeping up with my schoolwork |
16 |
22 |
13 |
4 |
12 |
I miss school because of not feeling well |
5 |
12 |
12 |
1 |
6 |
I miss school to go to the doctor or hospital |
29 |
26 |
32 |
1 |
2 |