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Selective Mutism Questionnaire (SMQ) Please consider your childs behavior in the last two weeks and rate how frequently each statement is true for your child. AT SCHOOL 1. When appropriate, my child.

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How to fill out the Selective Mutism Questionnaire online

The Selective Mutism Questionnaire is an essential tool for assessing a child's communication behavior in different settings. This guide will walk you through the online process of filling out the questionnaire, ensuring that you provide accurate and helpful responses.

Follow the steps to complete the questionnaire effectively.

  1. Press the ‘Get Form’ button to access the Selective Mutism Questionnaire and open it in your preferred online editor.
  2. Begin by reviewing the introduction and instructions provided in the questionnaire to understand its purpose and how to respond accurately.
  3. In the ‘At School’ section, rate your child's communication behavior with peers, teachers, and in group settings. Choose from options such as 'Always', 'Often', 'Seldom', or 'Never' for each statement.
  4. Move to the ‘Home/Family’ section, where you will evaluate your child's communication interactions with family members in various contexts. Again, select the appropriate frequency for each statement.
  5. Proceed to the ‘In Social Situations (Outside of School)’ section. Rate how often your child communicates with others outside of a school environment based on the provided statements.
  6. In the ‘Interference/Distress’ section, assess the impact of your child's selective mutism on different aspects of their life by selecting a level of interference ranging from 'Not at all' to 'Extremely'.
  7. After completing all sections of the questionnaire, review your responses to ensure accuracy. Make any necessary adjustments.
  8. Finally, save your changes, and choose to download, print, or share the completed questionnaire as needed.

Complete the Selective Mutism Questionnaire online today to gain valuable insights into your child's communication behaviors.

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Parents are asked to rate the frequency of each item, using a 4-point scale (1=Always; 2= Often; 3=Seldom; and 4=Never for speaking situations). A separate scale is used for the interference/distress items (1=Not at all, 2=Slightly, 3=Moderately, 4=Extremely).

Selective mutism is defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), as an anxiety disorder, “characterized by a consistent failure to speak in social situations in which there is an expectation to speak (e.g., school) even though the individual speaks in other situations.

Screening. Screening for selective mutism is conducted whenever selective mutism is suspected or as part of a comprehensive speech and language evaluation for any child with communication concerns.

Developed by R. Lindsey Bergman and colleagues, the Selective Mutism Questionnaire (SMQ) is a caregiver-report questionnaire that assesses the frequency of selective mutism symptoms over the preceding two weeks, in three domains: at school, speech in home/family environments, and in community/social settings.

Diagnosis of selective mutism is mostly on the basis of the patient's clinical history. A speech-language pathologist (SLP) plays a key role in the diagnosis of the condition. A child who shows signs of selective mutism should be taken to an SLP, apart from a pediatrician and a child psychologist.

Introduction. ing to the DSM-V, Selective Mutism is a childhood disorder typified by an inability to speak in certain circumstances. Specifically, it is a consistent failure to speak in certain social situations where there is a natural expectation of speaking (American Psychiatric Association, 2013).

The SMQ is a parent rating scale, measuring the severity of SM rated speaking behavior in different contexts (17 items) and impediment associated with nonspeaking behavior (six additional items). Items are scored on a 4-point Likert scale ranging from 0 (never speaking) to 3 (always speaking).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232