Vanderbilt Adhd Diagnostic Parent Rating Scale Template
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1
2VANDERBILT ADHD DIAGNOSTIC PARENT RATING SCALE
Child’s Name:
Today’s Date:
Date of Birth:
Age:
Grade:
Circle the number on the scale that corresponds to how you would rate your child’s behavior.
0 = Never
1 = Occasionally
2 = Often
3 = Very Often
1.
Does not pay attention to details or makes careless mistakes, for example homework 0
1
2
3
2.
Has difficulty attending to what needs to be done
0
1
2
3
3.
Does not seem to listen when spoken to directly
0
1
2
3
4.
Does not follow through when given directions and fails to finish things
0
1
2
3
5.
Has difficulty organizing tasks and activities
0
1
2
3
6.
Avoids, dislikes, or does not want to start tasks that require ongoing mental effort
0
1
2
3
7.
Loses things needed for tasks or activities (assignments, pencils, books)
0
1
2
3
8.
Is easily distracted by noises or other things
0
1
2
3
9.
Is forgetful in daily activities
0
1
2
3
10. Fidgets with hands or feet or squirms in seat
0
1
2
3
11. Leaves seat when he is suppose to stay in his seat
0
1
2
3
12. Runs about or climbs too much when he is suppose to stay seated
0
1
2
3
13. Has difficulty playing or starting quiet games
0
1
2
3
14. Is “on the go” or often acts as if “driven by a motor”
0
1
2
3
15. Talks too much
0
1
2
3
16. Blurts out answers before questions have been completed
0
1
2
3
17. Has difficulty waiting his/her turn
0
1
2
3
18. Interrupts or bothers others when they are talking or playing games
0
1
2
3
19. Argues with adults
0
1
2
3
20. Loses temper
0
1
2
3
21. Actively disobeys or refuses to follow an adults’ requests or rules
0
1
2
3
22. Bothers people on purpose
0
1
2
3
23. Blames others for his or her mistakes or misbehaviors
0
1
2
3
24. Is touchy or easily annoyed by others
0
1
2
3
25. Is angry or bitter
0
1
2
3
26. Is hateful and wants to get even
0
1
2
3
27. Bullies, threatens, or scares others
0
1
2
3
28. Starts physical fights
0
1
2
3
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