This questionnaire is designed to get a detailed and comprehensive history of the participant’s medical and psychiatric history. Parents are asked to respond Yes or No to a list of possible medical issues about their child, and for some are asked to specify type.

Note: This assessment is completed by guardians of child participants, ages 6-17 years old.

References: Merikangas, K., project in development.

Listed under Assessment Categories: Anxiety, Attention Problems and Hyperactivity, Autism Spectrum, Background Information, Depression and Mood, Eating Behavior, Obsessive-Compulsive Disorder, Psychotic and Atypical Behavior, Somatic Complaints, Tics

Medical History Questionnaire-Child Data Dictionary