Questionnaire for parents of children with ADHD
Social Functioning in children with ADHD
Hi. My name is Tahreem Sohail and I am investigating social functioning in children with ADHD. Your contribution to this research will be valuable and I hope that you will cooperate with us in this survey. I assure you that all information shall be kept strictly confidential. Thank you for your cooperation.
1. What is your child with ADHD’s age?
a. 1-5
b. 6-10
c. Other
d. Skip
2. What is your child with ADHD’s gender?
a. Male
b. Female
c. Skip
3. Does your child with ADHD also have co morbid disorders?
a. Yes
b. No
c. Skip
4. Does your child with ADHD have any siblings?
a. Yes
b. No
c. Skip
5. Is your child with ADHD receiving medical treatment?
a. Yes.
b. No
c. Skip
6. Does anyone else in your family also have ADHD?
a. Yes
b. No
c. Skip
7. How would you describe the relationship between you and your child with ADHD?
a. Positive. A deep level of understanding and bonding is present between us.
b. Fairly positive. There is quite some understanding and bonding between us.
c. Troubled. There is a small level of understanding and bonding between us.
d. Negative. There is little or no understanding or bonding present between us.
e. Skip
8. How would you describe your child with ADHD’s relationship with his/her siblings if he/she has any?
a. Positive. They get along well and often do activities together.
b. Fairly positive. They get along fairly well and sometimes do activities together.
c. Negative. They do not get along well at all and they hardly do anything together.
d. Skip
9. When your child with ADHD meets new people, how does he/she tend to react?
a. He/she is shy and hesitant to talk to them.
b. He/she is shy at first but eventually he/she starts opening up and talking to them.
c. He/she is excited and he/she socializes well with them.
d. Other
e. Skip
10. Does your child with ADHD take part in extra-curricular activities? If yes, then clarify how frequently he/she does so.
a. Yes,
i. Very frequently
ii. Quite frequently
iii. Sometimes
b. No
11. In comparison to siblings and/or peers, how well do you think your child with ADHD has adjusted to the environment at school?
a. Very well. He/she made friends very quickly and had no problems in socializing.
b. Fairly well. He/she got along fairly well with peers and made friends in a slightly longer period of time.
c. Not well. He/she constantly had troubles socializing with peers and making friends
d. Skip
12. Roughly, how stable would you say have the friendship bonds between your child with ADHD and peers been in terms of the length of the friendship that lasted?
a. Very stable
b. Quite stable
c. Not very stable
d. Unstable
e. Skip
13. How often is your child with ADHD invited to parties or other social events?
a. Very often
b. Often
c. Sometimes
d. Rarely
e. Skip
14. Compared to siblings and/or peers, how cooperative would you say your child with ADHD generally is?
a. Very cooperative
b. Cooperative
c. Somewhat cooperative
d. Uncooperative
e. Very uncooperative
f. Skip
15. How confident would you say your child with ADHD is compared to siblings and/or peers when it comes to taking initiatives or doing tasks?
a. Very confident
b. Confident
c. Somewhat confident
d. Not confident at all
e. Skip
16. When it comes to following rules, your child with ADHD is more likely to:
a. Follow the rules
b. Not follow the rules
c. Other
d. Skip
17. Compared to siblings and/or peers, do you think your child with ADHD has difficulty in communicating his/her feelings or thoughts?
a. Yes.
b. Somewhat
c. No
d. Skip
18. Is your child with ADHD’s social functioning an area of concern for you?
a. Yes
b. No
c. Skip
19. Are there any non-governmental organization(s) and/or institution(s) that have helped you in the process of raising your child with ADHD?
a. Yes
b. No
c. Skip
20. If you answered yes to the previous question, then tell us if you found these social support(s) reliable or truly beneficial for your child with ADHD?
a. Yes
b. Somewhat
c. No
d. Skip
21. Looking into the future, what do you think will be your child with ADHD’s social life like when he/she is a teenager?
a. Explain_ _
b. Skip
Thank you very much for your cooperation. I appreciate the time and effort that you gave for the completion of this questionnaire. The information you have provided will be of great value to this research. I value your contribution.
ADDF has been used as a resource for this research.
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