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ComparisonUpdated Mores Health team

Parent questionnaires vs play-based observation

Parent questionnaires record what an adult has noticed over weeks or months, at home and at school. Play-based observation records what a child actually does in a set task, in the moment. Questionnaires are validated and used in diagnosis; observation adds direct behaviour but covers one setting at one time. They answer different questions and work best together.

What is a parent questionnaire?

A parent questionnaire, or rating scale, is a list of statements about behaviour. A parent or teacher marks how often each one applies. Scores are compared with what is usual for the child's age. Common ones include:

  • NICHQ Vanderbilt Assessment Scales: ADHD symptoms and related difficulties, with parent and teacher versions, widely used by pediatricians.
  • Conners rating scales: ADHD and related behaviours, with parent, teacher and self-report forms.
  • Strengths and Difficulties Questionnaire (SDQ): a 25-item screen of emotional and behavioural strengths and difficulties.
  • Child Behavior Checklist (CBCL): a broad checklist of emotional and behavioural problems, with a version for ages 6 to 18.

What is play-based observation?

Play-based observation watches what a child does during a structured activity. A clinician may do it in the room. A game-based assessment does it inside a game, recording each choice and when it happened.

Side by side

Questionnaires and play-based observation compared
Parent or teacher questionnairePlay-based observation (game)
Source of informationAn adult's memory and judgementThe child's own actions
Time coveredWeeks or monthsOne session (repeat sessions build a picture over time)
Settings coveredHome and school, if both are askedThe game only
ValidationEstablished scales are well validatedDepends on the game; many are still being validated
Effect of adult expectationsCan shift scoresLittle; the adult does not answer
Effect of the child's dayLittleSleep, mood and setting all matter
Role in diagnosisStandard part of an ADHD evaluationSupporting information only
CostSeveral scales are free to download; scoring by a clinician may costVaries; Mores is ₹499 per session in India

Where questionnaires are stronger

  • They cover behaviour across settings and over months, which diagnosis requires.
  • Established scales have years of validation data and age norms.
  • A teacher sees your child in a group, with demands a game cannot copy.

What play-based observation adds

  • It records what the child did, not what an adult remembers.
  • It is harder to skew towards the answer that seems right.
  • It can describe several areas of behaviour, not one score.
  • Children often experience it as play rather than a test.

Using both

If you are concerned about your child, a pediatrician will usually ask you and the teacher to complete rating scales. A play-based report can sit alongside them as extra, concrete examples. If the two disagree, that is worth discussing too: it may say something about the setting, not the child.

FAQ

Common questions

01
Which is more accurate, a questionnaire or a game?
They measure different things. Validated questionnaires are the standard for screening and diagnosis. A game adds direct observation in one setting. Accuracy depends on validation, so ask what any tool has been checked against.
02
Can I fill in a Vanderbilt or SDQ myself?
Both are available to download, but scores mean most when a clinician interprets them alongside your child's history and the teacher's form.
03
Does Mores replace a questionnaire?
No. Mores is an observation, not a diagnosis. It can sit alongside questionnaires as another source of examples.

Not a diagnosis. This guide is general information, not medical advice. If you are worried about your child, talk to your pediatrician. Written by the Mores Health team from the sources below; it has not yet been reviewed by a clinician.

Sources

  1. NICHQ Vanderbilt Assessment Scales
  2. Strengths and Difficulties Questionnaire (SDQ)
  3. American Academy of Pediatrics (HealthyChildren.org): Diagnosing ADHD in children
  4. NIMH: Attention-Deficit/Hyperactivity Disorder
Mores Health

See how your child plays.

A 12-minute game for ages 6 to 12 that reads 16 behaviour markers. ₹499 per session. A private report in plain words. Observation, not diagnosis.