During the administration, [name]…
Became anxious or uncomfortable when presented with items that were very difficult
never or rarely
some of the time
most of the time
Warning: these figures indicate the number of cases found in the data file. They cannot be interpreted as summary statistics of the population of interest.
COMPLE THIS FORM AFTER ALL TESTS HAVE BEEN ADMINISTERED
Based on your observation of the child respondent, complete the following section.
Note: Do not consult the M/G or caregiver to complete any of the questions below; responses are based on enumerator observations only.