INSTRUCTIONS
This form asks about behaviors in several areas where people may have difficulty. The person you are rating may or may not have ever shown these behaviors.
For each behavior listed, please check the description that best describes the person you are rating. Check the box Don't Know if you do not have enough information about a behavior to give a rating. It is important to provide an answer for every behavior. After each section, there is space for you to give one or more brief, specific examples that relate to your ratings in that section. The final section of this questionnaire provides space where you can describe any other behaviors that you would like us to know about.