​​​​​​Mental Health Questionnaires

The age-specific Mental Health Questionnaires are developed by the Healthy Kids Program in collaboration with the Mental Hygiene Administration to assist providers in assessing for mental health problems.  They are not a validated evaluation tool.  The mental health assessment provides an overall view of the child’s personality, behavior, social interactions, affect, and temperament.  It is the responsibility of the PCP to conduct a mental health assessment on each Healthy Kids visit, beginning at 3 years of age to identify risks associated with behavioral or emotional problems.

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Mental Health Questionnaire 3-5 yrsXXEnglish2014
Mental Health Questionnaire 6-9 yrsXXEnglish2014
Mental Health Questionnaire 10-12 yrsXXEnglish2014
Mental Health Questionnaire 13-20 yrsXXEnglish2014
Mental Health Questionnaire 3-5 yrs XXSpanish2014
Mental Health Questionnaire 6-9 yrsXXSpanish2014
Mental Health Questionnaire 10-12 yrsXXSpanish2014
Mental Health Questionnaire 13-20 yrsXXSpanish2014