| Parent Functioning | Items | General Content |
| Physical Functioning | 6 | Problems with physical functioning, including feeling tired, getting headaches, feeling weak, and stomach problems |
| Emotional Functioning | 5 | Problems with emotional functioning, including anxiety, sadness, anger, frustration, and feeling helpess or hopeless |
| Social Functioning | 4 | Problems with social functioning, including feeling isolated, difficulty getting support from others, and finding time or energy for social activities |
| Cognitive Functioning | 5 | Problems with cognotive functioning, including difficulty maintaining attention, remembering things, and thinking quickly |
| Communication | 3 | Problems with communication, including others not understanding the family’s situation, difficulty talking about child’s health condition, and communicating with health professionals |
| Worry | 5 | Problems with worrying, including worrying about child’s treatments and side effects, about others reactions to child’s condition, about the effect of the illness on the rest of the family, and about child’s future |
| Family Functioning | Items | General Content |
| Daily Activities | 3 | Problems with daily activities, including activities taking more time and effort, difficulty finding time and energy to finish household tasks |
| Family Relationships | 5 | Problems with family relationships, including communication, stress, and conflicts between family members, and difficulty making decisions and solving problems as a family |