VANDERBILT ADHD D1ac»
|OSTIC TEACHER RATING SCALE.
Patient Name: Today's Date:
Date of Birth: Ager
Grade:
Each rating should be considered in the context of what is appropriate for the age of the children you are rating,
Frequency Code:
Fails to give attention to details or makes careless mistakes in schoolwork
‘Has dificulty sustaining attention to tasks or activities
Does not seem to listen when spoken to directly
Does not follow through on instruction and fails to finish,
schoolwork (not due to oppositional behavior or failure to understand)
Has dffculry organising tasks and activities
Avoids, dislikes, ors reluctant to engage in tasks that require sustaining mental effort
Loses things necessary for tasks or activities (school asignments, pencils, oF books)
Is easily distracted by extraneous stimuli
Is forgetfl in daly activities
10.
FFidgets with hands or feet or squirms in seat
Leaves seat in classroom ot in other situations in which remaining seated is expected
2
Runsabout or climbs excessively in situations in which remaining seated is expected
2B.
Has difficulty playing or engaging in leisure activities quietly
4
Ison the go" or often acts as if"driven by a motor”
15.
Talks excessively
16.
Blurts out answers before questions have been completed,
ra
Has difficulty waiting in line
18.
Interrupts or intrudes on others (eg, buts into conversations or games)
19.
Loses temper
Actively defies or refuses to comply with adults’ requests or rules
21.
Isangry or resentful
= Never; 1 = Occasionally; 2 = OftensVANDERBILT ADHD D1aGNosTIc TEACHER RATING SCALE
Each rating should be considered in the context of what is appropriate for the age of the children you ae rating,
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Academic Performance
1. Reading 1 2 3 4 5
2. Mathematics fi 7 3 4 5
3. Written expression 1 2 3 4 5
‘Classroom Behavioral Performance
1, Relationships with peers
2. Following drectons/rules
3. Disrupring class
4 Assignment completion
5. Organizational skills