What if the respondent scores two different items when his/her comments indicate that they refer to exactly the same problem?

Answer: Score only the item that most specifically describes the behavior.  For example, if the respondent circled a 1 for item 2. Acts too young for age and also circled a 1 for item 80. Strange behavior, describing the behavior as "acts babyish", only item 2 should be counted. 

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