Critical Social Skills Questionnaire
Parent Form, Ages 3-9
Child’s Name:______Date of Birth:______Today’s Date:______
Please circle the response that best describes the way your child has been with playmates his/her age over the PAST TWO WEEKS. Use the following scale:
1=never or almost never, 2=hardly ever, 3=sometimes, 4=most of the time, 5=always or almost always
Does your child…
1. Share toys without prompting?
1 2 3 4 5
Never Always
2. Take turns during games?
1 2 3 4 5
Never Always
3. Make suggestions rather than demands during play?
1 2 3 4 5
Never Always
4. Ask questions to determine the wants/needs of others during play?
1 2 3 4 5
Never Always
5. Obey game rules?
1 2 3 4 5
Never Always
6. Really listen to others’ ideas during play?
1 2 3 4 5
Never Always
7. Have a two-way conversation (get information and give information) during play with peers?
1 2 3 4 5
Never Always
8. Grab toys from others?
1 2 3 4 5
Never Always
9. Have a hard time sharing when asked (e.g., a toy hog)?
1 2 3 4 5
Never Always
10. Try to take extra turns in games?
1 2 3 4 5
Never Always
11. Act bossy during play (e.g., always have to play his ideas/games)?
1 2 3 4 5
Never Always
12. Need to be in control of the flow of play (e.g., when to change games)?
1 2 3 4 5
Never Always
13. Cheat during games or try to change the rules in the middle to his/her advantage?
1 2 3 4 5
Never Always
14. Act like a sore loser?
1 2 3 4 5
Never Always
15. Prefer to play alone if he/she can’t have his/her way?
1 2 3 4 5
Never Always
16. Tend to play side-by-side with other kids rather than interacting with them?
1 2 3 4 5
Never Always
17. Give monologues rather than have a true conversation?
1 2 3 4 5
Never Always
18. Interview other kids (e.g., asking multiple questions in a row)?
1 2 3 4 5
Never Always
19. Intrude on others’ play and take it over (e.g., join in then change the game)?
1 2 3 4 5
Never Always
20. Have a hard time knowing when other children are annoyed by him/her?
1 2 3 4 5
Never Always