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Behavior and Social-Emotional
  1. The following statements describe auditory processing and language based concerns that some children may have. Please indicate the behaviors which are considered to be a concern to you.
  2. Full Name (*)
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  3. E-mail (*)
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  4. Phone
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  5. Overreacts to small problems which are considered trivial.
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  6. Has explosive outbursts.
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  7. Makes careless errors.
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  8. Has frequent mood changes.
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  9. Angry or tearful outbursts are intense but end suddenly and are forgotten.
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  10. Is unaware of how his/her behavior impacts others.
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  11. Does not think about consequences before acting (ie. impulsive).
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  12. Interrupts people during conversations.
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  13. Reacts more strongly to situations than other same-aged children.
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  14. Has difficulties waiting his/her turn.
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