Child Attachment Checklist

Symptoms

None

Mild

Moderate

Severe

1

Is unable to give and receive love

0

1 2 3

4 5 6 7

8 9 10

2

Is oppositional, argumentative, defiant

0

1 2 3

4 5 6 7

8 9 10

3

Is emotionally phony, hollow, or empty

0

1 2 3

4 5 6 7

8 9 10

4

Is manipulative or controlling

0

1 2 3

4 5 6 7

8 9 10

5

Has frequent or intense angry outbursts

0

1 2 3

4 5 6 7

8 9 10

6

Is an angry child inside

0

1 2 3

4 5 6 7

8 9 10

7

Unable to cry about something sad

0

1 2 3

4 5 6 7

8 9 10

8

Avoids or resists physical closeness and touch

0

1 2 3

4 5 6 7

8 9 10

9

Cannot be trusted

0

1 2 3

4 5 6 7

8 9 10

10

Has little or no conscience

0

1 2 3

4 5 6 7

8 9 10

11

Is superficially engaging and charming

0

1 2 3

4 5 6 7

8 9 10

12

Lack of eye contact on parental terms

0

1 2 3

4 5 6 7

8 9 10

13

Indiscriminately affectionate on parents’ terms

0

1 2 3

4 5 6 7

8 9 10

14

Not affectionate on parents’ terms

0

1 2 3

4 5 6 7

8 9 10

15

Destructive to self, others, and property

0

1 2 3

4 5 6 7

8 9 10

16

More disobedient toward mom than dad

0

1 2 3

4 5 6 7

8 9 10

17

Cruel to animals

0

1 2 3

4 5 6 7

8 9 10

18

Steals

0

1 2 3

4 5 6 7

8 9 10

19

Lies about the obvious (crazy lying)

0

1 2 3

4 5 6 7

8 9 10

20

Is impulsive or hyperactive

0

1 2 3

4 5 6 7

8 9 10

21

Lacks cause and effect thinking

0

1 2 3

4 5 6 7

8 9 10

22

Gorges or hoards food

0

1 2 3

4 5 6 7

8 9 10

23

Has poor peer relationships

0

1 2 3

4 5 6 7

8 9 10

24

Preoccupation with fire, blood, or violence

0

1 2 3

4 5 6 7

8 9 10

25

Persistent nonsense questions or incessant chatter

0

1 2 3

4 5 6 7

8 9 10

26

Inappropriately demanding or clingy

0

1 2 3

4 5 6 7

8 9 10

27

Sexual acting out

0

1 2 3

4 5 6 7

8 9 10

28

Bossy with peers

0

1 2 3

4 5 6 7

8 9 10

Download .pdf version of Child Attachment Checklist