Each client is asked to identify up to 8 concerns that they can observe and rate on a day-by-day basis. They are given a list of possible concerns in all areas including sleep, attention and learning problems, sensory problems, behavioral problems, emotional problems, physical problems and pain as suggestions. Clients are asked to phrase the concern in their own words and to rate each concern on a 0 to 10 point scale for a "Bad Week", "Good Week" and a "Usual Week" where lower numbers indicate the concern is less severe. The average of the three ratings is the Baseline (BL). After that, at each session rated each concern. The scores are the average of the last three ratings. 

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