DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure Adult Name: Age: Sex: 2025

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  1. Click ‘Get Form’ to open the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure in the editor.
  2. Begin by entering your Name, Age, and Sex in the designated fields at the top of the form. This information is essential for personalizing your assessment.
  3. If applicable, indicate your relationship with the individual completing the questionnaire and specify how much time you spend together weekly.
  4. Proceed to answer each question regarding symptoms experienced over the past two weeks. Circle the number that best reflects your experience for each item listed.
  5. Review your responses for accuracy before finalizing. Ensure all sections are completed as this will aid in a comprehensive evaluation.

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The DSM-5 Level 1 Cross-Cutting Symptom Measure is a self- or informant-rated measure that assesses mental health domains that are important across psychiatric diagnoses. It is intended to help clinicians identify additional areas of inquiry that may have significant impact on the individuals treatment and prognosis.
The DSM-5 Level 2Sleep DisturbanceParent/Guardian of Child Age 617 measure is the 8-item PROMIS Sleep Disturbance Form that assesses the pure domain of sleep disturbance in children and adolescents. The measure is completed by the parent or guardian about the child prior to a visit with the clinician.
To assess this criterion, the DSM-5 Levels of Personality Functioning Questionnaire (DLOPFQ) was developed. The DLOPFQ assesses individuals self-impairments and other impairments in several domains (self-direction, identity, empathy, and intimacy) and across 2 contexts (work/school and relationships).
Level 1. REQUIRING SUPPORT: Individuals with this level of severity have difficulty initiating social interactions, may exhibit unusual or unsuccessful responses to social advances made by others, and may seem to have decreased interest in social interactions.
The DSM-5 introduced three ASD levels of severity: level 1 (requiring support), level 2 (requiring substantial support), and level 3 (requiring very substantial support).
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The cross-cutting measures have two levels: Level 1 questions are a brief survey of 13 domains for adult patients and 12 domains for child and adolescent patients, and Level 2 questions provide a more in-depth assessment of certain domains.
Each item on the measure is rated on a 5-point scale (0=none or not at all; 1=slight or rare, less than a day or two; 2=mild or several days; 3=moderate or more than half the days; and 4=severe or nearly every day). The score on each item within a domain should be reviewed.

cross cutting symptom measures