Subject Identification Number
Family Number
Pedigree Code: Relationship to proband
Birth Order: Bio-family
Twin Sample
Family Type
Interview Age
Currently Living with Siblings
Yr: Lived with Siblings
Currently Attend School
Yr: Attend School
Mt: Attend School
Not in School Because Vacation
When Stop Attending School
Month Stopped Attending School
Age When Stopped Attending School
Grand Stopped Attending School
Current Grade in School
Month Started School this Year
Ever Repeated Grade in School
Repeated Grade Multiple Times
Number of Grades Repeated
Which Grades Repeated
Attend Kindergarten
Age Attend Kindergarten
Age Started School
Grade Started Scool
Currently Have Job
Always Live in Same House
Live with Both Parents
GAD Yr A: excessive anxiety
GAD Yr A1
GAD Yr A2
GAD Yr A3
GAD Yr A4
GAD Yr A5
GAD Yr A: count
GAD Yr A met
GAD Mt A: excessive anxiety
GAD Mt A1
GAD Mt A2
GAD Mt A3
GAD Mt A4
GAD Mt A5
GAD Mt A: count
GAD Mt A met
GAD Yr B:difficult control worry
GAD Yr B1
GAD Yr B2
GAD Yr B3
GAD Yr B4
GAD Yr B: count
GAD Yr B met
GAD Mt B:difficult control worry
GAD Mt B1
GAD Mt B2
GAD Mt B3
GAD Mt B4
GAD Mt B: count
GAD Mt B met
GAD Yr C5: muscle tension
GAD Yr C1:restlessness
GAD Yr C2: fatique
GAD Yr C3: difficult concentrate
GAD Yr C6: sleep disturbances
GAD Yr C4: irritability
GAD Yr C: Sx
GAD Yr C met
GAD Mt C5: muscle tension
GAD Mt C1:restlessness
GAD Mt C2: fatique
GAD Mt C3: difficult concentrate
GAD Mt C6: sleep disturbances
GAD Mt C4: irritability
GAD Mt C: Sx
GAD Mt C met
GAD Yr Dx
GAD Mt Dx
PTSD Yr A1: traumatic event
PTSD Yr A2:intense fear/helpless
PTSD Yr A met
PTSD Mt A1: traumatic event
PTSD Mt A2:intense fear/helpless
PTSD Mt A met
PTSD Yr B1: recollections
PTSD Mt B1: recollections
PTSD Yr B2:recurrent dreams
PTSD Mt B2:recurrent dreams
PTSD Yr B3:feeling as if recurring
PTSD Mt B3:feeling as if recurring
PTSD Yr B4:psych distress cues
PTSD Mt B4:psych distress cues
PTSD Yr B5:physical distress cues
PTSD Mt B5:physical distress cues
PTSD Yr B Sx count
PTSD Yr B met
PTSD Mt B Sx count
PTSD Mt B met
PTSD Yr C1:avoids thoughts/feelings
PTSD Mt C1:avoids thoughts/feelings
PTSD Yr C2:avoids activities places
PTSD Mt C2:avoids activities places
PTSD Yr C3:inability recall aspects
PTSD Mt C3:inability to recall aspects
PTSD Yr C4:diministed interests
PTSD Mt C4:diministed interests
PTSD Yr C5:feelings of detachment
PTSD Mt C5:feelings of detachment
PTSD Yr C6: restricted range affect
PTSD Mt C6: restricted range affect
PTSD Yr C7: foreshortened future
PTSD Mt C7: foreshortened future
PTSD Yr C: Sx count
PTSD Yr C met
PTSD Mt C: Sx count
PTSD Mt C met
PTSD Yr D1:difficulty sleeping
PTSD Mt D1:difficulty sleeping
PTSD Yr D2:irritability
PTSD Mt D2:irritability
PTSD Yr D3: difficulty concentrating
PTSD Mt D3: difficult concentrate
PTSD Yr D4:hypervigilant
PTSD Mt D4:hypervigilant
PTSD Yr D5: exaggerated startled rsp
PTSD Mt D5: exaggerated startled rsp
PTSD Yr D: Sx count
PTSD Yr D met
PTSD Mt D: Sx count
PTSD Mt D met
PTSD Yr E met
PTSD Mt E met
PTSD Yr: Total Sx Count
PTSD Yr Dx
PTSD Mt: Total Sx Count
PTSD Mt Dx
MDD Yr A2: Depressed mood
MDD Mt A2: Depressed mood
MDD Yr A2: Irritable mood
MDD Mt A2: Irritable mood
MDD Yr A2: Weight change
MDD Mt A2: Weight change
MDD Yr A2: Sleep Disturbance
MDD Mt A2: Sleep Disturbance
MDD Yr A2: Psychomotor Agitation
MDD Mt A2: Psychomotor Agitation
MDD Yr A2: Fatigue
MDD Mt A2: Fatigue
MDD Yr A2: Worthlessness/Guilt
MDD Mt A2: Worthlessness/Guilt
MDD Yr A2: Indecisive
MDD Mt A2: Indecisive
MDD Yr A2: Recurrent Thoughts Death
MDD Mt A2: Recurrent Thoughts of Death
MDD Yr A1: Depressed/Irritable
MDD Mt A1: Depressed/Irritable
MDD Yr A2: Sx Count
MDD Mt A2: Sx Count
MDD Yr A Met
MDD Mt A Met
MDD Yr E Met
MDD Mt E Met
MDD Yr Dx
MDD Mt Dx
DD Yr A: Depressed Mood
DD Mt A: Depressed Mood
DD Yr B1: Poor Appetite
DD Yr B2: Sleep Disturbance
DD Yr B3: Fatigue
DD Yr B4: Low Self Esteem
DD Yr B5: Poor Concentration
DD Yr B6: Hopelessness
DD Yr B: Sx Count
DD Yr B Met
DD Mt B1: Poor Appetite
DD Mt B2: Sleep Disturbance
DD Mt B3: Fatigue
DD Mt B4: Low Self Esteem
DD Mt B5: Poor Concentration
DD Mt B6: Hopelessness
DD Mt B: Sx Count
DD Mt B Met
DD Yr C Met
DD Mt C Met
DD Yr D Met
DD Mt D Met
DD Yr Dx
DD Mt Dx
ADHD Yr A1: No Attn to Details
ADHD Yr A1: Difficulty Attn
ADHD Yr A1: Doesnt Listen
ADHD Yr A1: Fails to Finish
ADHD Yr A1: Disorganized
ADHD Yr A1: Avoids Mental Effort
ADHD Yr A1: Loses Things
ADHD Yr A1: Easily Distracted
ADHD Yr A1: Often Forgetful
ADHD Yr A1: Inattn Sx Count
ADHD Yr A1: Inattn Met
ADHD Mt A1: No Attn to Details
ADHD Mt A1: Difficulty Attn
ADHD Mt A1: Doesn't Listen
ADHD Mt A1: Fails to Finish
ADHD Mt A1: Disorganized
ADHD Mt A1: Avoids Mental Effort
ADHD Mt A1: Loses Things
ADHD Mt A1: Easily Distracted
ADHD Mt A1: Often Forgetful
ADHD Mt A1: Comp 1 Sx Count
ADHD Mt A1: Comp 1 Met
ADHD Yr A2: Often Figdets
ADHD Yr A2: Leaves Seat
ADHD Yr A2: Runs/Climbs on
ADHD Yr A2: Difficult Play Quiet
ADHD Yr A2: Often On the Go
ADHD Yr A2: Talks Excessively
ADHD Yr A2: Blurts Out Answers
ADHD Yr A2: Difficult Wait Turn
ADHD Yr A2: Often Interrupts
ADHD Yr A2: Hyper/Implsv Sx Count
ADHD Yr A2: Hyper/Implsv Met
ADHD Mt A2: Often Figdets
ADHD Mt A2: Leaves Seat
ADHD Mt A2: Runs/Climbs on
ADHD Mt A2: Difficult Play Quiet
ADHD Mt A2: Often On the Go
ADHD Mt A2: Talks Excessively
ADHD Mt A2: Blurts Out Answers
ADHD Mt A2: Difficult Wait Turn
ADHD Mt A2: Often Interrupts
ADHD Mt A2: Comp 2 Sx Count
ADHD Mt A2: Comp 2 Met
ADHD Yr B:Inattn bf 7
ADHD Yr B:Hyper bf 7
ADHD Mt B:Inattn bf 7
ADHD Mt B:Hyper bf 7
ADHD Yr B: Inattn 2 Settings
ADHD Yr B:Hyper 2 Settings
ADHD Mt C: Inattn 2 Settings
ADHD Mt C: Hyper 2 Settings
ADHD Yr Dx
ADHD Mt Dx
ODD YR A1: Often Loses Temper
ODD YR A2: Often Argues w/ Adults
ODD YR A3: Refuses Requests
ODD YR A4: Deliberately Annoys
ODD YR A5: Blames Others
ODD YR A6: Easily Annoyed
ODD YR A7: Angry/Resentful
ODD YR A8: Spiteful/Vindictive
ODD MT A1: Often Loses Temper
ODD MT A2: Often Argues w/ Adults
ODD MT A3: Refuses Requests
ODD MT A4: Deliberately Annoys Others
ODD MT A5: Blames Others
ODD MT A6: Easily Annoyed
ODD MT A7: Angry/Resentful
ODD MT A8: Spiteful/Vindictive
ODD YR A1 Sx Count
ODD YR A Met
ODD MT A1 Sx Count
ODD MT A Met
ODD Yr Dx
ODD Mt Dx
CD YR A1: Bullies/Threatens
CD YR A2: Initiates Fights
CD YR A3: Used Weapons
CD YR A4: Cruel to People
CD YR A5: Cruel to Animals
CD YR A6: Steal w/Confront
CD YR A7: Forced Sex
CD YR A8: Fire Setting
CD YR A9: Destroyed Property
CD YR A10: Breaking and Entering
CD YR A11: Often Lies
CD Yr A12: Steal w/o Confront
CD YR A13: Out Past Curfew
CD Yr A14: Runaway
CD YR A15: Truant
CD YR A Sx Count
CD 6 MT A1: Bullies/Threatens
CD 6 MT A2: Initiates Fights
CD 6 MT A3: Used Weapons
CD 6 MT A4: Cruel to People
CD 6 MT A5: Cruel to Animals
CD 6 MT A6: Steal w/Confront
CD 6 MT A7: Forced Sex
CD 6 MT A8: Fire Setting
CD 6 MT A9: Destroyed Property
CD 6 MT A10: Breaking and Entering
CD 6 MT A11: Often Lies
CD 6 Mt A12: Steal w/o Confront
CD 6 MT A13: Out Past Curfew
CD 6 Mt A14: Runaway
CD 6 MT A15: Truant
CD 6 MT A Sx Count
CD Yr A
CD Yr Dx
ODD Mt D Met: Not CD
ODD Yr D Met: Not CD
W CD 1: Bully/Threatens
W CD 2: Initiates Fights
W CD 3: Use Weapons
W CD 4: Cruel to People
W CD 5: Cruel to Animals
W CD 6: Steal W/Confront
W CD 7: Forced Sex
W CD 8: Fire Setting
W CD 9: Destroys Property
W CD 10: Break and Enter
W CD 11: Lies
W CD 12: Steal w/o Confront
W CD 13: Stays Out Late
W CD 14: Runaway
W CD 15: Often Truant
W CD Sx Count
W CD Dx
W GAD Q4: Difficult Concentrate
W GAD Q5: Tense,Restless,Tired
W GAD Q6: Grouchy, Irritable
W GAD Q7: Interfere w/ Sleep
W GAD Q8: Aches and Pains
W GAD Q9: Fatigue
W GAD Count 1
W GAD Q12: Worry Cause Unhappy
W GAD Q15: Difficult Concentrate
W GAD Q16: Tense,Restless,Tired
W GAD Q17: Grouchy or Irritable
W GAD Q18: Interfere with Sleep
W GAD Q19: Aches and Pains
W GAD Q20: Fatigue
W Lfe GAD Count 2
W GAD Q23: Worry Cause Unhappy
W MDD Dx
W MDD Nt 2: Grouchy,Sad
W MDD Q3:Could not Enjoy Things
W MDD Q5:Difficult Concentrate
W MDD Q6: Blames Self
W MDD Q7: Eating Habit Changed
W MDD Q8: Fatigued
W MDD Q9: Sleep Disturbances
W MDD Q10:Change in Amt moved
W MDD Nt 3: Think About Death
W MDD Count 1
W MDD Q20:Dep. Began After Death
W MDD Dx 1
W MDD Nt 4:Grouchy or Sad
W MDD Q23:Could not Enjoy Things
W MDD Q25:Difficult Concentrate
W MDD Q26: Blames Self
W MDD Q27: Eating Habit Changed
W MDD Q28: Fatigued
W MDD Q29: Sleep Disturbances
W MDD Q30: Sleep Disturbances
W MDD Nt 5: Think About Death
W MDD Count 2
W MDD Q38:Depr Began After Death
W MDD Dx 2
W ADHD-I Q3: Easily Distracted
WADHD-I Q4:Difficult Sustain Attn
W ADHD-I Q5: Dislike Paying Attn
W ADHD-I Q6: Disorganized
W ADHD-I Q7: Trouble Finishing
W ADHD-I Q8: Often Loses Things
W ADHD-I Q9: Forgetful
W ADHD-I Q10: Careless Mistakes
W ADHD-I Q11: Does not Listen
W ADHD-I Count 1
W ADHD-I Q14/15
W ADHD-I Age/Grade 1
W ADHD-I Q19: Easily Distracted
WADHD-IQ20: Difficulty Sustain Attn
W ADHD-I Q21:Dislike Paying Attn
W ADHD-I Q22:Disorganized
W ADHD-I Q23:Trouble Finishing
W ADHD-I Q24:Often Loses Things
W ADHD-I Q25:Forgetful
W ADHD-I Q26:Careless Mistakes
W ADHD-I Q27:Does not Listen
W ADHD-I Count 2
W ADHD-I Age/Grade 2
W ADHD-I Q29/30
W ADHD-H Q3: Often Leaves Seat
W ADHD-H Q4: Fidgets in Seat
W ADHD-H Q5: Interrupts
W ADHD-H Q6: Talks A Lot
W ADHD-H Q7: Noisy
W ADHD-H Q8:Blurts Out Answers
W ADHD-H Q9:Trouble Wait Turn
W ADHD-H Q10: Run/Climb
W ADHD-H Q11: On the Go
W ADHD-H Count 1
W ADHD-H Age/Grade 1
W ADHD-H Q14/15
W ADHD-H Q19: Often Leaves Seat
W ADHD-H Q20: Fidgets in Seat
W ADHD-H Q21: Interrupts
W ADHD-H Q22: Talks A Lot
W ADHD-H Q23: Noisy
W ADHD-H Q24:Blurts Out Answers
W ADHD-H Q25:Trouble Wait Turn
W ADHD-H Q26: Run/Climb
W ADHD-H Q27: On the Go
W ADHD-H Count 2
W ADHD-H Age/Grade 2
W ADHD-H Q29/30
W ODD Q2: Lose Temper
W ODD Q3: Argumentative
W ODD Q4: Breaks Rules
W ODD Q5: Annoy Others
W ODD Q6: Blames Others
W ODD Q7: Annoyed by Others
W ODD Q8: Often Mad at Others
W ODD Q9: Getting Even
W ODD Count 1
W ODD Dx 1
W ODD Q16: Lose Temper
W ODD Q17: Argumentative
W ODD Q18: Breaks Rules
W ODD Q19: Annoy Others
W ODD Q20: Blames Others
W ODD Q21: Annoyed by Others
W ODD Q22: Often Mad at Others
W ODD Q23: Getting Even
W ODD Count 2
W ODD Dx 2
W ODD Dx
CD Age
CD Grade
ADHD Yr Subtype
ADHD Mt Subtype
CD:Child/Adolescent
PTSD Yr Spec1: Acute
W GAD DX1: W/IMPAIR
W GAD DX2: W/IMPAIR
W GAD DX: W/IMPAIR
PTSD Yr Spec2: Chronic
PTSD Mt Spec1
PTSD Mt Spec2
W ADHD-H DX1: OFC S-LOG
W ADHD-H DX2: OFC S-LOG
W ADHD-H DX: OFC S-LOG
W ADHD-I DX1: OFC S-LOG
W ADHD-I DX2: OFC S-LOG
W ADHD-I DX: OFF S-LOG
W ADHD DX: OFF S-LOG
W ADHD DX: W/IMPAIR
W ADHD SUBTYPE OUR WAY