The Clinic Plus Program uses the Strengths and Difficulties Questionnaire (SDQ), a research-based screening instrument that focuses on five distinct areas of a child’s emotional well-being. The five focus areas are: emotional symptoms, conduct, hyperactivity, peer relations, and prosocial behavior. The SDQ is distributed through participating school districts and early childhood education programs for students ages three through fourteen (or Grade 8). Parent packets include a program information sheet, letter from the School Superintendent or Program Director, consent form and SDQ form, and a return envelope. Parents return the completed consent/SDQ form in the sealed envelope to school or by mail. Clinic Plus staff will collect returned surveys from the school, score the results, and return results to parents/guardians.