Developmental & Behaviour Questionnaire (Self-Report)

📧 How to Submit Your Results

Email directly to Dr. Shah — click the email button to open your email app with pre-filled details and attach the downloaded file
Download and send manually — download the results file and email to: draanashah@protonmail.com

Important: This questionnaire asks about your behaviour as a child and at the present time. To help you recall your childhood, it may be useful to look through photographs or documents (e.g. school reports, health records) from that time. Please answer as accurately as possible — there are no right or wrong answers. Your responses help build an accurate picture of your history.

Your Details

Full Name

Date of Birth

Date of Completion

How to Complete This Questionnaire

For each topic you will find two questions: one about your childhood (toddlerhood to school age) and one about the present time.

Step 1 — Select one rating: Never, Rarely, Sometimes, Often, or Don't Know.

Step 2 — In the text box, give specific examples and describe how the behaviour affected your daily life and relationships, and whether any adjustments were made.

Please provide as much detail as possible — your written answers are just as important as the rating.

✓ Questionnaire Complete

Thank you for completing this questionnaire. Please download your results file and send it to your clinician.

Remember: Please attach the downloaded .enc file to the email before sending.