APS Child Response Form Use for ages 7 through 11 Please complete the form and submit your results. The responses to these 60 questions are used to generate an Arno Profile System Report. Parents: Please assist your child with completing the form. Administrator Name: Cynthia W. Bell, D.Min First and Last Name* Email* Birth Date* Age* Sex*Select oneMaleFemale Please provide a :Youth ClinicalThe default value is Youth Clinical. NOTICE: The 60 questions herein are copyrighted by N.C.C.A., S.A.C.C., and Drs.Arno for the sole purpose of generating an A.P.S. report. Any other use is a violation of copyright laws. Printed 2017 by N.C.C.A., S.A.C.C. of Sarasota, FL. NOTE: Do not analyze or debate over your response. To ensure accurate results, you must provide the first response that comes to your mind. This Questionnaire MUST only take you 8 to 10 minutes to complete. INSTRUCTIONS: For each statement below, decide which of the following answers best applies to you. Select the number of your answer from the drop-down menu. Please be as honest as you can. For this group of statements, please choose the best response that represents you:1. Not at all 2. Very Seldom 3. On Occasion 4. From Time to Time 5. Many Times 6. Most of the Time 1. I freely allow kids to guide me and tell me what to do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 2. I try to get other kids to do what I want them to do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 3. I make an effort to get close with other kids and share my secrets with them*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 4. I enjoy being asked to a friends house when other friends are there too*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 5. I enjoy when kids ask me to be a part what they are doing*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 6. I allow other kids to guide what I do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 7. I enjoy when kids behave nicely toward me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 8. When I am around other kids, I try to tell them what to do (I try to be a leader or in charge)*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 9. I make an effort to be a part of what other kids are doing*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 10. I do what other kids do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 11. I freely allow other kids to guide me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 12. I make an effort to be nice to other kids*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 13. I do not approach or interact with other kids*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 14. I try to get other kids to do what I want them to do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 15. I do not want to be friends with or talk to other kids*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 16. I make an effort to get close and friendly with other kids*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 17. I enjoy when other kids behave kindly toward me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 18. I enjoy when kids ask me to be a part of what they are doing*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 19. I allow other kids to be the leader of things*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 20. I prefer that kids do not approach me or interact with me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 21. I enjoy when other kids are nice to me and share their secrets with me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 22. I prefer that kids do not approach me or interact with me*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 23. I enjoy when other kids try to get to know me better*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 24. When I am around other kids, I try to tell them what to do (I try to be a leader or in charge)*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 25. I freely allow other kids to guide me or tell me what to do*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 26. It makes me happy when others choose me as their friend*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 27. I enjoy when kids invite to be a part of what others are doing*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 28. I make an effort to be a part of a group of other kids doing things*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 29. I attempt to have other kids do things how I would do them*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time 30. I make an effort to get close and friendly with kids*Select one1. Not at all2. Very Seldom3. On Occasion4. From Time to Time5. Many Times6. Most of the Time For this group of statements, please choose the best response that represents you:1. No One 2. One or Two People 3. A Couple of Individuals 4. A Small Group of People 5. Many Individuals 6. Almost Everyone 31. I enjoy when kids try to be a close friend of mine*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 32. I enjoy telling other kids what I think they should do*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 33. I freely allow kids to guide me or tell me what to do*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 34. I attempt to have other kids do things how I would do them*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 35. I enjoy going to festive events*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 36. I make an effort to join activities through clubs or sports*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 37. I make an effort to be a part of what other kids are doing*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 38. I like invitations from kids to do what they are doing*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 39. I like invitations from kids to go to birthday or holiday parties*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 40. When around other kids, I make an effort to be the leader*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 41. I make an effort to have kids in my presence*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 42. I prefer that kids do not approach me or interact with me*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 43. I enjoy when kids invite me to be a part of what they are doing*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 44. I enjoy when kids behave kindly toward me*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 45. When I am with a group of kids, I tend to go with the flow*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 46. I try to get kids to do what I want them to do*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 47. When I make plans, I make sure to include other kids in them*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 48. I try to be open and nice with kids*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 49. I make an effort to participate in school clubs or activities*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 50. When someone offers me good advice, I do what they say*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 51. I greet others with a smile*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 52. When I make plans, I make sure to include other kids in them*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 53. I make an effort to get close and friendly with kids I call my friends*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 54. I try to do what the other kids do*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 55. I freely allow kids to guide me or tell me what to do*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 56. I make an effort to get close and friendly with other kids*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 57. When I see others having a good time I join in with them*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 58. I prefer other kids greet with me with a smile*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 59. When I see a kid that needs help, I try to help them*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone 60. It makes me happy when others choose me as their friend*Select one1. No One2. One or Two People3. A Couple of Individuals4. A Small Group of People5. Many Individuals6. Almost Everyone Submit
