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Begin by entering the child's name, date, sex, and age in the designated fields at the top of the form.
Identify and fill in your relationship to the child by selecting from options such as Mother, Father, Stepmother, Stepfather, or Other.
In Section 1, rate your child's behavior over the past six months by circling a number from 1 (Never or Rarely) to 4 (Very Often) for each item listed.
Continue through Sections 2 to 5, following similar instructions for rating behaviors related to executive functioning. Ensure you circle a number for each item based on your observations.
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