Conners' Global Index Parent Version

Conners' Global Index Parent Version
CGI-P: Conners' Global Index Parent Version

by C. Keith Conners, Ph. D.
Child's Name*

First NameLast Name
Gender*

MF
Birthdate*

MonthDayYear
Age*
School Grade*
Parent's Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Instructions: Below are a number of common problems that children have. Please rate each item according to your child's behavior in the last month. For each item, ask yourself, "How much of a problem has been in the last month?", and mark the best answer for each item. If none, not at all, seldom, or ver infrequest, you would mark 0. If very true, or it occurs very often or frequently, you would mark 3. You would mark 1 or 2 for ratings in between, Please respond to all the items.

	NOT TRUE AT ALL (Never, Seldom) 0	JUST A LITTLE TRUE (Occasionally) 1	PRETTY MUCH TRUE (Often, Quite a Bit) 2	VERY MUCH TRUE (Very Often, Very Frequent) 3
1. Restless or overactive
2. Excitable, impulsive
3. Fails to finish things he/she starts
4. Inattentive, easily distracted
5. Temper outbursts
6. Fidgeting
7. Disturbs other children
8. Demands must be met immediately - easily frustrated
9. Cries often and easily
10. Mood changes quickly and drastically

CGI-P: Conners' Global Index Parent Version