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Total # of Questions: 15

Neuro-Qol pediatric item bank - peer interaction - version 1.0 [NeuroQol.Peds] [68129-6]

Date Done

Time Done

Where Done

Comment

Name

Value

Units

In the past 7 days I felt close to my friends [68194-0]

In the past 7 days I felt comfortable with others my age [68195-7]

In the past 7 days I was happy with the friends I had [68196-5]

In the past 7 days I felt comfortable talking with my friends [68197-3]

In the past 7 days - I spent time with my friends [62161-5]

In the past 7 days - My friends and I helped each other out [62167-2]

In the past 7 days I had fun with my friends [68198-1]

In the past 7 days - I felt accepted by other kids my age [62156-5]

In the past 7 days I was able to talk openly with my friends [68199-9]

In the past 7 days - I shared with other kids (food, games, pens, etc.) [62160-7]

In the past 7 days I was able to stand up for myself [68200-5]

In the past 7 days I think I have fewer friends than other people my age [68201-3]

In the past 7 days my friends ignored me [68202-1]

In the past 7 days I wanted to spend time with my friends [68203-9]

In the past 7 days I did things with other kids my age [68204-7]

PLEASE WAIT