Emotion Regulation Checklist

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Emotion Regulation Checklist

Emotion Regulation Checklist

Please tick the box that applies most to this child. Please answer every question as best you can.

Almost Never Sometimes Often Always Is a cheerful child 1. Exhibits wide mood swings (child’s emotional 2. state is difficult to anticipate because s/he moves quickly from positive to negative moods) Responds positively to neutral or friendly 3. approaches by adults. Transitions well from one activity to another; does not become anxious, angry, distressed or 4. overly excited when moving from one activity to another. Can recover quickly from episodes of upset or distress (eg. does not pout or remain sullen, 5. anxious or sad after emotionally distressing events) 6. Is easily frustrated. Responds positively to neutral or friendly 7. approaches by peers. 8. Is prone to angry outbursts / tantrums easily Is able to delay gratification (wait for good 9. things) Takes pleasure in the distress of others 10. (eg. laughs when another person gets hurt or punished; enjoy teasing others) Can modulate excitement in emotionally arousing situations (eg. does not get ‘carried 11. away’ in high-energy situations, or overly excited in inappropriate contexts. 12. Is whiny or clingy with adults. Is prone to disruptive outbursts of energy and 13. exuberance 14. Responds angrily to limit-setting by adults. Can say when s/he is feeling sad, angry or mad, 15. fearful or afraid. 16. Seems sad or listless. Is overly exuberant when attempting to engage 17. other in play. Displays flat affect (expression is vacant and 18. inexpressive; child seems emotionally absent) Responds negatively to neutral or friendly 19. approaches by peers (eg. may speak in an angry tone of voice or respond fearfully) 20. Is impulsive. Is empathic towards others; shows concern 21. when others are upset or distressed. Displays exuberance that others find intrusive or 22. disruptive. Displays appropriate negative emotions (anger, 23. fear, frustration, distress) in response to hostile, aggressive or intrusive acts by peers. Displays negative emotions when attempting to 24. engage others in play.

Version 1 – 4 October 2006

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