Pediatric Symptom Checklist-17 (PSC-17), parent form

Assessment tool

Please mark under the heading that best describes your child. Select Never, Sometimes or Often for each of the17 statements. The final question asks whether your child needs help and contributes no score. This is the parent version; do not substitute youth self-report norms. All17 symptom ratings are required for this website report.

01 Feels sad, unhappy
02 Feels hopeless
03 Is down on self
04 Worries a lot
05 Seems to be having less fun
06 Fidgety, unable to sit still
07 Daydreams too much
08 Distracted easily
09 Has trouble concentrating
10 Acts as if driven by a motor
11 Fights with other children
12 Does not listen to rules
13 Does not understand other people’s feelings
14 Teases others
15 Blames others for his/her troubles
16 Refuses to share
17 Takes things that do not belong to him/her
18 Does your child have any emotional or behavioral problems for which she/he needs help? Not included in total

Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.

About this scale and references
Reference information · Questionnaire
Last content update
2026-10-26
Clinical review
Not independently reviewed
Source jurisdiction
See individual sources
Coverage
Questionnaire
What changed in this edition
FieldInstrument context
VersionEnglish parent PSC-17, MGH grouped order: internalizing1–5, attention6–10, externalizing11–17; unscored help question retained
PopulationChildren; primary national validation sample ages4–15 years. Interpret other ages using applicable local validation.
RespondentParent or guardian describing the child
Recall periodNo fixed recall interval specified in this selected form
PurposeScreen psychosocial functioning and identify concerns for further child-focused clinical assessment

Interpretation & limitations

  • Sum the17 ratings0–2 for a total0–34. In this grouped source, items1–5 sum internalizing0–10;6–10 attention0–10;11–17 externalizing0–14. Other PSC17 forms use a different question order: do not transfer their item-number keys.
  • The primary validation uses total15 or more, internalizing5 or more, attention7 or more and externalizing7 or more as screening guides for further evaluation. These do not diagnose depression, anxiety, ADHD or a conduct disorder.
  • All17 symptom responses are required before showing a total or dimensions. The final help-needed response is optional and unscored; an expressed request is retained even when symptom responses are incomplete.
  • Interpret parent perceptions, developmental level, language, family and school context. The validation study cautions against deriving diagnosis or treatment from these scores without additional assessment.
  • This free clinical questionnaire is not an automatically validated youth, translated or preschool-specific substitute.
  • No automatic diagnosis, medication change or declaration of safety.
References · 3
  1. MGH exact grouped English parent PSC-17, all17 items and help question
  2. Co-developer Michael S. Jellinek: availability, clinical purpose, PSC17 and electronic use · Co-developer Michael S. Jellinek states that the PSC is freely available without charges for the tool, use or scoring, discusses the shortened PSC17 and electronic clinical administration. This implementation is the existing free clinical questionnaire route; no charge is made for this instrument. Source attribution and exact parent-form wording are retained.
  3. Murphy, Bergmann, Chiang et al2016 primary national validation: scoring and screening guides

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