Social Interactions Behavior Inventory (SIBI)

Parent Version
1. Your child had fun playing with other children at school.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
2. Your child played by him/herself more than with other children.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
3. Your child knew how to play a game other children played at recess.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
4. Other children played with your child at recess.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
5. Your child joined in other children’s games at recess.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
6. Other children bullied or teased your child.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
7. A child at school picked your child to be on a team for games.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
8. Your child maintained a friendship with another child at school.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
If yes‚ his/her first name is: _______________________________________________
9. Your child felt close to other children at school.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Don’t know
10. Your child is more comfortable talking to children in online games than to children at school.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Does Not Play Online Games
IN THE COMMUNITY
In the past two weeks…
11. Your child had fun playing with other children in the community.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
12. Your child was allowed to access or utilize social networking media (e.g.‚ Facebook‚ Twitter). Yes/ No
13. Your child expressed interest in accessing or utilizing social networking media (e.g.‚ Facebook‚ Twitter).
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
14. Your child participated in a club or sports team (e.g.‚ Scouts‚ soccer).
Not at all‚ Attended A Few Meetings/Practices‚ Attended Some Meetings/Practices‚ Attended Most Meetings/Practices‚ Attended Almost All Meetings/Practices
Please specify activity: __________________________________________________
15. A child invited your child to play at his/her house.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
16. Your child played at another child’s house.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
17. A child came to play at your child’s house.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
18. Your child played outside the home with other children.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
19. Your child maintained a friendship with another child outside of school.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often n
If yes‚ his/her first name is: _____________________________
IF YOUR CHILD HAS A FRIEND AT SCHOOL OR OUTSIDE OF SCHOOL (if not‚ please skip to #21)…
In the past two weeks…
a) This friend called or texted your child.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Not Allowed/No Phone
b) Your child called or texted this friend.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often‚ Not Allowed/No Phone
c) This friend came to play at your house.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
d) Your child went to play at this friend’s house.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
20. Your child indicated desiring more/better social interactions with other children.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
AT HOME
In the past two weeks…
21. Your child had fun playing with his/her family.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
22. Your child asked a family member to play games with him/her.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
23. Your child had a conflict or argument with one of his/her family members.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
24. Your child only played by him/herself.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
25. Your child mostly engaged in this activity (please specify): _________________
Your child engaged in this activity only by him/herself.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
DID THIS HAPPEN TO YOUR CHILD?
26. Your child had a conflict or argument with another child (peer or sibling). Yes/ No
If yes‚ your child was successful in resolving the conflict or argument with this child.
Not at all‚ Not really successful‚ Neutral‚ Somewhat successful‚ Very successful
27. Your child had a conversation with a friend about things they were both interested in.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
28. Your child had a conversation with a friend about things your child wasn’t interested in‚ because your child’s friend was interested in those things.
Not at all‚ Seldom‚ Sometimes‚ Often‚ Very often
ADDITIONAL COMMENTS
-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-
Child Version
AT SCHOOL (If you are homeschooled‚ please think about your social interactions in other places‚ such as at Scouts or other programs for kids)
In the past two weeks…
1. I liked other kids at school.
No‚ Not really‚ Sometimes‚ Often‚ A lot
2. I played by myself more than with other kids at recess.
No‚ Not really‚ Sometimes‚ Often‚ A lot
3. I wished I had more or better friends at school.
No‚ Not really‚ Sometimes‚ Often‚ A lot
4. I had fun playing with other kids at school.
No‚ Not really‚ Sometimes‚ Often‚ A lot
5. A kid at school asked me to play‚ or wanted to play with me at recess.
No‚ Not really‚ Sometimes‚ Often‚ A lot
At School
6. I knew how to play a game other kids at school played at recess.
No‚ Not really‚ Sometimes‚ Often‚ A lot
7. I played near other kids at recess but not with them.
No‚ Not really‚ Sometimes‚ Often‚ A lot
8. I played a team game at recess (e.g.‚ dodge ball‚ four square).
No‚ Not really‚ Sometimes‚ Often‚ A lot
9. A kid picked me to be on a team for games.
No‚ Not really‚ Sometimes‚ Often‚ A lot
10. I talked with a kid about something at recess.
No‚ Not really‚ Sometimes‚ Often‚ A lot
11. I had a friend at school.
No‚ Not really‚ Sometimes‚ Often‚ A lot
If yes‚ his/her first name is: _____________________________
12. I was teased or bullied.
No‚ Not really‚ Sometimes‚ Often‚ A lot
13. I joined another kid in his/her game at recess.
No‚ Not really‚ Sometimes‚ Often‚ A lot
AFTER SCHOOL
14. I talked to kids in online games more than I talked to kids at school.
No‚ Not really‚ Sometimes‚ Often‚ A lot‚ Don’t Play Online Games
15. I played __________________________________ the most at recess.
16. My favorite game to play at recess: _____________________________________
17. I participated in a club activity‚ Scouts‚ or a sports team like soccer.
No‚ Not really‚ Sometimes‚ Often‚ A lot
If yes‚ what did you do? ___________________________________________
18. I had fun playing with other kids after school.
No‚ Not really‚ Sometimes‚ Often‚ A lot
19. A kid invited me to play at his/her house.
No‚ Not really‚ Sometimes‚ Often‚ A lot
20. I played at a kid’s house.
No‚ Not really‚ Sometimes‚ Often‚ A lot
21. A kid came to play at my house.
No‚ Not really‚ Sometimes‚ Often‚ A lot
22. I played outside with other kids.
No‚ Not really‚ Sometimes‚ Often‚ A lot
23. I had a friend in my neighborhood.
No‚ Not really‚ Sometimes‚ Often‚ A lot
If yes‚ his/her first name is: ______________________________________
IF YOU HAVE A FRIEND AT SCHOOL OR IN YOUR NEIGHBORHOOD (if not‚ please skip to #24)…
In the past two weeks …
a) This friend called me or texted me.
No‚ Not really‚ Sometimes‚ Often‚ A lot‚ Not Allowed/No Phone
b) I called or texted this friend.
No‚ Not really‚ Sometimes‚ Often‚ A lot Not Allowed/No Phone
c) This friend came to play at my house.
No‚ Not really‚ Sometimes‚ Often‚ A lot
d) I played at this friend’s house.
No‚ Not really‚ Sometimes‚ Often‚ A lot
AT HOME
24. I had fun playing with my family.
No‚ Not really‚ Sometimes‚ Often‚ A lot
25. I played mostly by myself.
No‚ Not really‚ Sometimes‚ Often‚ A lot
26. I asked my family to play games with me.
No‚ Not really‚ Sometimes‚ Often‚ A lot
27. I fought or argued with someone in my family.
No‚ Not really‚ Sometimes‚ Often‚ A lot
28. I mostly played (please specify): ______________________________________________
I played this mostly by myself.
No‚ Not really‚ Sometimes‚ Often‚ A lot
DID THIS HAPPEN TO YOU?
In the past two weeks…
29. I fought/argued with my friend. Yes/ No
If yes…I fought/argued with my friend and now…
We’re definitely not friends‚ We’re not really friends‚ I’m not sure we are friends‚ We’re kind of friends‚ We’re definitely friends
30. I talked to my friend about stuff we both like to talk about.
No‚ Not really‚ Sometimes‚ Often‚ A lot
31. I talked to my friend about stuff that only my friend likes to talk about.
No‚ Not really‚ Sometimes‚ Often‚ A lot
ADDITIONAL COMMENTS -‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-‎-
 

Chung‚ Winnie Wing Sum. (2012). Development of the Social Interactions Behavior Inventory (SIBI) for Children with High-Functioning Autism/Asperger‟s Syndrome. The Ohio State University. M.A Thesis.

x