Vanderbilt Adhd Diagnostic Parent Rating Scale Template Page 2
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1
2VANDERBILT ADHD DIAGNOSTIC PARENT RATING SCALE
Child’s Name: ___________________________
29. Lies to get out of trouble or to avoid jobs (i.e., “cons” others)
0
1
2
3
30. Skips school without permission
0
1
2
3
31. Is physically unkind to people
0
1
2
3
32. Has stolen things that have value
0
1
2
3
33. Destroys others’ property on purpose
0
1
2
3
34. Has used a weapon that can cause serious harm (bat, knife, brick, gun)
0
1
2
3
35. Is physically mean to animals
0
1
2
3
36. Has set fires on purpose to cause damage
0
1
2
3
37. Has broken into someone else’s home, business, or car
0
1
2
3
38. Has stayed out at night without permission
0
1
2
3
39. Has run away from home overnight
0
1
2
3
40. Has forced someone into sexual activity
0
1
2
3
41. Is fearful, nervous, or worried
0
1
2
3
42. Is afraid to try new things for fear of making mistakes
0
1
2
3
43. Feels useless or inferior
0
1
2
3
44. Blames self for problems, feels at fault
0
1
2
3
45. Feels lonely, unwanted, or unloved; complains that “no one loves him/her”
0
1
2
3
46. Is sad or unhappy
0
1
2
3
47. Feels different and easily embarrassed
0
1
2
3
How is your child doing?
Problem
Average
Above Average
1. Rate how your child is doing in school overall
1
2
3
4
5
a. How is your child doing in reading?
1
2
3
4
5
b. How is your child doing in writing?
1
2
3
4
5
c. How is your child doing in math?
1
2
3
4
5
2. How does your child get along with you?
1
2
3
4
5
3. How does your child get along with brothers and sisters?
1
2
3
4
5
4. How does your child get along with others his/her own age?
1
2
3
4
5
5. How does your child do in activities such as games or team
1
2
3
4
5
play?
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