Psychological Functioning Scale for Children and Adolescents
Your Name:
Name of person rated:
Today's date:
The person rated can be yourself or someone else. Please rate the person's functioning in the following areas over the last month (or other specified interval:
Please use any number in the interval 0 to 10, including, if you wish, odd numbers or decimals such as 3.8.
0=Very undesirable, very great need for improvement.
2=Definitely undesirable, great need for improvement.
4= In the undesirable range, need for improvement.
6=OK, adequate, acceptable, but not great. Improvement is desirable.
8=Good functioning in this area. Would be just fine if pattern continued as is.
10=Excellent functioning in this area. Would be great, wonderful if pattern continued as is.
_____ F1 Acting kindly and cooperatively with family members; acting in ways that help improve the "family emotional climate"
_____ F2 Being respectful and compliant with teachers at school.
_____ F3 Getting along with peers at school.
_____ F4 Making and keeping friends
_____ F5 Performing up to potential in schoolwork.
_____ F6 Being happy, enjoying life, having fun.
_____ F7 Being free of psychological symptoms that distress you yourself. (For example fears or depression or worries). (0 is worst; 10 is best.)
_____ F8 Being free of symptoms that bother other people.(For example misbehavior or aggression.) (0 is worst; 10 is best.)
_____ F9 Doing useful work other than schoolwork, for example helping with family chores.
_____ F10 Being free of considering or carrying out any act of self-harm. (10 is no problem with self-harm, 0 is very severe problems with self-harm)
_____ F11 Being free of threatening or carrying out any act of harm to others. (10 is no problem with harm of others, 0 is very severe problems with harm of others)
_____ F12 Being able to concentrate, stay on task, not be distracted, keep working long enough, have a high work capacity
_____ F13 Being organized.
_____ F14 Avoiding impulsive behaviors, thinking before acting.
_____ F15 Being able to sit still long enough and being free from restlessness.
_____ F16 Making other people happy, having a net positive effect on others.
_____ F17 Now please rate overall functioning. Good functioning is the thoughts, feelings, and behaviors that tend to: produce happiness and well-being in both yourself and others; produce good social relations and positive achievement; and accomplish worthwhile goals. Please rate how good, overall, your functioning was.
Your name:
Person rated:
Date:
The person rated can be yourself, or someone else. The following questions have to do with “psychological skills.” How skillfully did the person act during the last month? How good was the functioning in each of these areas? Use any number between 0 and 10, including odd numbers or decimals if you want.
0=Very undesirable, very great need for improvement.
2=Definitely undesirable, great need for improvement.
4= In the undesirable range, need for improvement.
6=OK, adequate, acceptable, but not great. Improvement is desirable.
8=Good functioning in this area. Would be just fine if pattern continued as is.
10=Excellent functioning in this area. Would be great, wonderful if pattern continued as is.
n=Not applicable, not answerable, or not known
_____ P1. Productivity: concentrating, staying on task, getting things finished, working well, having high work capacity
_____ P2. Joyousness: feeling good about accomplishments; cheerfulness, pleasant mood, being happy, not being depressed
_____ P3. Kindness: trying to make others happy; sharing, consideration, courtesy, helpfulness
_____ P4. Honesty: Telling the truth, keeping promises, not cheating or stealing
_____ P5. Fortitude: handling not getting your way, putting up with hardship, not getting too upset when things don’t go as desired
_____ P6. Good individual decisions: Thinking before acting, using good judgment
_____ P7. Good joint decisions or conflict-resolution: acting in ways that make it more likely that problems or conflicts with other people are solved peacefully and sensibly
_____ P8. Nonviolence: No physical hitting, kicking, etc., no threats to hurt
_____ P9.Respectful talk: Not being rude, not doing unkind talk, being tactful, expressing approval
_____ P10. Friendship-building: Having good chats, letting people get to know you, being a good listener, developing positive relationships
_____ P11. Self discipline: Being able to do what's best to accomplish goals rather than just doing what you feel like doing
_____ P12. Loyalty: Honoring commitments, preserving relationships, sticking up for friends
_____ P13. Conservation: Not being wasteful of money, time, or resources
_____ P14. Self-care: Taking care of your own health and safety, being careful
_____ P15. Compliance: Obeying parents, teachers, and the law, when they are reasonable authorities
_____ P16. Positive fantasy rehearsal: Not enjoying violent or cruel fantasies or entertainments; using imagination to rehearse ways of accomplishing good goals
_____ P17. Courage: Not being hindered by anxiety, unrealistic fear, worrying, or unnecessarily avoiding certain situations.