Form MS-C01Age 6–17Completed by parent / caregiverDuration 10–16 min

Your child's symptoms may overlap. Let's map them together.

This is not an official test or diagnosis for children. It is a parent-reported pre-screen based on recent observations: ADHD-like difficulties, autism / sensory load, anxiety, OCD repetitions, low mood, and emotion regulation. If overlapping patterns appear, differential questions open.

Why a separate form?

Adult items use work, masking, and hypomania language. The child form uses school, play, routine, and caregiver observation. Bipolar screening is cautious; it rarely presents prominently in young children.

ADHD-like pictureTrouble starting, fidgeting, missing instructions, difficulty waiting turns.
Autism / sensorySound–light–fabric sensitivity, repetitive play, reading implied meaning, distress when plans change.
Anxiety and OCDCatastrophic worries, morning bodily complaints before school, washing or “just right” repetitions.

For abuse, neglect, or child safety concerns, call emergency services. This form does not replace a court or school evaluation. Legal notice