PROBLEM CHECKLIST
DIRECTIONS:
Put a check if you observe some symptoms of the following on your students.
PHYSICAL PROBLEM
__Fever __Chicken pox
__Otitis media (middle ear infection)
__Otitis externa (external ear infection)
__Pink eye
__Fifth disease(Hawaiian blush)
__Roseola
__Scarlet fever
__Vomiting and diarrhea
__Athlete’s foot
__Eczema
__Impetigo
__Ringworm
__Delay in talking__Learning disabilities
SOCIAL PROBLEM
__Lying__Alcohol use
__Social withdrawal
MORAL PROBLEM
__Stealing EMOTIONAL PROBLEM
__Bipolar disorder__Depression
__Autism
__Schizophrenia
__Tourette syndrome
__Irritability
__Aggressive
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