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 = OftensVANDERBILT 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, [3 aamimemcnmtmc Da Ls | 25s amnesiac reer ie | [neste ToL [| Lm nentmemnwwmes Lo LL | Since we ee eee ee on aaa Lm mematrrimmnanin Lo Ts LD 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