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CHILD STUDY CENTER
                  Department of Pediatrics
            University of Oklahoma Health Sciences Center   Vanderbilt ADHD Diagnostic Parent Rating Scale

 Parents Name: ____________________ Todays Date: ___________ Childs Name: ______________________ Age: ____
 Directions: Each rating should be considered in the context of what is appropriate for the age of your child and
 should reflect that childs behavior in the last 6 months.
 Is this evaluation based on a time when the child      was on medication    was not on medication       not sure?
 BEHAVIOR:                                                                                       never occasionally         often     very often
1. Does not pay attention to details or makes careless mistakes;                                     0             1         2             3
      for example, homework.
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, or 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/she is supposed to stay in his/her seat.                                     0             1         2             3
12. Runs about or climbs too much when he/she is supposed 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 for 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/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
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. Is physically mean to animals.                                                                   0             1         2             3
35. Has set fires on purpose to cause damage.                                                        0             1         2             3
36. Has broken into someone elses home, business or car.                                            0             1         2             3
37. Has stayed out at night without permission.                                                      0             1         2             3
38. Has run away from home overnight.                                                                0             1         2             3
39. Is fearful, anxious, or worried.                                                                 0             1         2             3
40. Is afraid to try new things for fear of making mistakes.                                         0             1         2             3
41. Feels useless or inferior.                                                                       0             1         2             3
42. Blames self for problems, feels at fault.                                                        0             1         2             3
43. Feels lonely, unwanted, or unloved; complains that no one loves him/her.                       0             1         2             3
44. Is sad, unhappy, or depressed.                                                                   0             1         2             3
45. Feels different and easily embarrassed.                                                          0             1         2             3
 PERFORMANCE:                                                                               Above                    Somewhat
 How is your child doing?                                                 Excellent        Average       Average   of a Problem     Problematic
 1.   Rate how your child is doing in school overall.                        1              2              3            4              5
 2.   How is your child doing in reading?                                    1              2              3            4              5
 3.   How is your child doing in writing?                                    1              2              3            4              5
 4.   How is your child doing in math?                                       1              2              3            4              5
 5.   How does your child get along with you?                                1              2              3            4              5
 6.   How does your child get along with brothers and sisters?               1              2              3            4              5
 7.   How does your child get along with others his/her own age?             1              2              3            4              5
 8.   How does your child do in activities such as games or team play?       1              2              3            4              5
 If more than six items from questions 1 - 9 or 10 -18 are rated 2 or 3,
 how old was your child when you first noticed these behaviors? _______
How to score the parent checklist
A. For questions 19, add up the number of questions where the teacher circled a 2 or 3.
B. For questions 1018, add up the number of questions where the teacher circled a 2 or 3.
C. For questions 3643, add up the number of questions where the teacher circled a 4 or 5.

ADHD Predominantly Inattentive subtype (1 and 2):
      At least 6 of questions 19 must score a 2 or 3 and
      At least 1 of questions 3643 must score a 4 or 5

ADHD Predominantly Hyperactive/Impulsive subtype
      At least 6 of questions 1018 must score a 2 or 3 and
      At least 1 of questions 3643 must score a 4 or 5

ADHD Combined Inattention/Hyperactivity subtype
      At least 6 of questions 19 must score a 2 or 3 and
      At least 6 of questions 1018 must score a 2 or 3 and
      At least 1 of questions 3643 must score a 4 or 5

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Vanderbilt parent adhd

  • 1. CHILD STUDY CENTER Department of Pediatrics University of Oklahoma Health Sciences Center Vanderbilt ADHD Diagnostic Parent Rating Scale Parents Name: ____________________ Todays Date: ___________ Childs Name: ______________________ Age: ____ Directions: Each rating should be considered in the context of what is appropriate for the age of your child and should reflect that childs behavior in the last 6 months. Is this evaluation based on a time when the child was on medication was not on medication not sure? BEHAVIOR: never occasionally often very often 1. Does not pay attention to details or makes careless mistakes; 0 1 2 3 for example, homework. 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, or 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/she is supposed to stay in his/her seat. 0 1 2 3 12. Runs about or climbs too much when he/she is supposed 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 for 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/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 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. Is physically mean to animals. 0 1 2 3 35. Has set fires on purpose to cause damage. 0 1 2 3 36. Has broken into someone elses home, business or car. 0 1 2 3 37. Has stayed out at night without permission. 0 1 2 3 38. Has run away from home overnight. 0 1 2 3 39. Is fearful, anxious, or worried. 0 1 2 3 40. Is afraid to try new things for fear of making mistakes. 0 1 2 3 41. Feels useless or inferior. 0 1 2 3 42. Blames self for problems, feels at fault. 0 1 2 3 43. Feels lonely, unwanted, or unloved; complains that no one loves him/her. 0 1 2 3 44. Is sad, unhappy, or depressed. 0 1 2 3 45. Feels different and easily embarrassed. 0 1 2 3 PERFORMANCE: Above Somewhat How is your child doing? Excellent Average Average of a Problem Problematic 1. Rate how your child is doing in school overall. 1 2 3 4 5 2. How is your child doing in reading? 1 2 3 4 5 3. How is your child doing in writing? 1 2 3 4 5 4. How is your child doing in math? 1 2 3 4 5 5. How does your child get along with you? 1 2 3 4 5 6. How does your child get along with brothers and sisters? 1 2 3 4 5 7. How does your child get along with others his/her own age? 1 2 3 4 5 8. How does your child do in activities such as games or team play? 1 2 3 4 5 If more than six items from questions 1 - 9 or 10 -18 are rated 2 or 3, how old was your child when you first noticed these behaviors? _______
  • 2. How to score the parent checklist A. For questions 19, add up the number of questions where the teacher circled a 2 or 3. B. For questions 1018, add up the number of questions where the teacher circled a 2 or 3. C. For questions 3643, add up the number of questions where the teacher circled a 4 or 5. ADHD Predominantly Inattentive subtype (1 and 2): At least 6 of questions 19 must score a 2 or 3 and At least 1 of questions 3643 must score a 4 or 5 ADHD Predominantly Hyperactive/Impulsive subtype At least 6 of questions 1018 must score a 2 or 3 and At least 1 of questions 3643 must score a 4 or 5 ADHD Combined Inattention/Hyperactivity subtype At least 6 of questions 19 must score a 2 or 3 and At least 6 of questions 1018 must score a 2 or 3 and At least 1 of questions 3643 must score a 4 or 5