Get Brief Problem Checklist

The Brief Problem Checklist is a valuable tool for understanding the challenges a child may be facing and helps caregivers provide the necessary support. This guide will walk you through the steps to effectively complete this form online, ensuring all required information is accurately recorded.

Follow the steps to complete the Brief Problem Checklist online effectively.

1. Press the ‘Get Form’ button to access the Brief Problem Checklist and open it in your preferred online editor.
2. Begin by entering the child’s name in the designated field. This identifies the individual for whom you are completing the checklist.
3. Provide your name as the primary caregiver or respondent. This is important for tracking and follow-up purposes.
4. Input your preferred phone number. Ensure this number is accurate to facilitate communication regarding your child’s needs.
5. Select your preferred call times by filling in the three available options. This will help the caller to reach you at convenient times.
6. In the phone log section, list the dates of calls made along with any relevant notes for each call. You may attach additional sheets if necessary for clarity.
7. On the 'Caller' line, write the name of the person making the call, and in the 'Respondent' line, reiterate your name for verification.
8. Review and rate the top three problems identified in previous meetings, using a scale from 0 (not at all a problem) to 10 (a huge problem), and add any notes as needed.
9. Read through the list of items related to children's behavior. Indicate how true each statement is for your child over the past week by selecting ‘not true,’ ‘somewhat true,’ or ‘very true’.
10. At the end of the form, answer whether there are additional comments you would like to share. If so, note them on the back of the form.
11. Once all fields are completed, review your input for accuracy. Save your changes, and download or print the form for your records or to share with others as needed.

Complete your documents online promptly to support your child's needs.