Get Developmental And Social History Questionnaire

Completing the Developmental and Social History Questionnaire online is a vital step in understanding your child's developmental needs and social background. This guide will assist you in navigating each section of the form effectively and ensuring all necessary details are accurately filled out.

Follow the steps to complete the questionnaire successfully.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your preferred online tool.
2. Begin by filling out the patient and family information section. Provide the child's or adolescent's name, date of birth, school, and grade. Include the names and occupations of both parents or guardians, along with their contact information.
3. Document the parents' marital status, and if applicable, note the date of divorce. Indicate the legal custody arrangements, and remember to attach any relevant custody documents.
4. List any additional caretakers or significant adults involved in your child's life. Include their names, relationships, and contact information.
5. Provide details regarding your child's siblings, including their names, relationships, and ages.
6. Complete the developmental history section. Note any issues during pregnancy or delivery, and describe any illnesses or complications your child experienced during infancy.
7. Outline the developmental milestones your child has achieved, such as walking and toilet training, and provide relevant information about bladder and bowel control.
8. Fill in the medical history section. Indicate any chronic conditions, allergies, past hospitalizations, or medications your child is currently taking.
9. In the habits section, mark any behavioral issues that your child may exhibit and describe them briefly.
10. Review the school history section. Rate your child's academic experience, list any grade repetition, and describe current class placements and behavioral concerns reported by teachers.
11. Discuss childcare arrangements and the number of hours your child spends in such settings.
12. Explore family dynamics. Describe your child’s relationships with each parent and note if they have experienced any separations or significant life events.
13. Detail any psychiatric problems or patterns of substance abuse within the immediate and extended family.
14. Examine your child's friendships. Note their peer interactions and the roles they typically take in group activities.
15. Discuss your child's interests and achievements. Outline their strengths and any areas of concern that have arisen.
16. Use the final section to elaborate on any major concerns regarding your child, including prior treatments or steps taken to resolve issues.
17. After completing the form, save any changes made, and download or print a copy for your records. You may also share the form as needed.

Get started today by filling out the Developmental and Social History Questionnaire online to support your child's developmental journey.