Vanderbilt Parent Rating Scale

Longitudinal follow-up of Youth with Attention-Deficit/Hyperactivity Disorder identified in Community Settings: Examining Health Status, Correlates, and Effects associated with treatment for ADHD

Attachment B21 Parent Vanderbilt Rating Scale scan

Attachment B21. Vanderbilt Parent Rating Scale (Parent)

OMB: 0920-0747

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_____________________


Vanderbilt Rating Scale


Each rating should be considered in the context of what is appropriate for the age of your child and should reflect your child’s behavior in the last 6 months. Please, (1) fill in only one bubble (answer) per question, (2) use a black or blue pen to complete the forms, and (3) do not write or place any stray marks on the forms except where specified. Thank you.


BEHAVIOR:

Never

Occasionally

Often

Very Often

  1. Does not pay attention to details or makes careless mistakes; for example, homework.

O

O

O

O

  1. Has difficulty attending to what needs to be done.

O

O

O

O

  1. Does not seem to listen when spoken to directly.

O

O

O

O

  1. Does not follow through when given directions and fails to finish things.

O

O

O

O

  1. Has difficulty organizing tasks and activities.

O

O

O

O

  1. Avoids, dislikes, or does not want to start tasks that require ongoing mental effort.

O

O

O

O

  1. Loses things needed for tasks or activities (assignments, pencils, or books).

O

O

O

O

  1. Is easily distracted by noises or other things.

O

O

O

O

  1. Is forgetful in daily activities.

O

O

O

O

  1. Fidgets with hands or feet or squirms in seat.

O

O

O

O

  1. Leaves seat when he/she is supposed to stay in his/her seat.

O

O

O

O

  1. Runs about or climbs too much when he/she is supposed to stay seated.

O

O

O

O

  1. Has difficulty playing or starting quiet games.

O

O

O

O

  1. Is “on the go” or often acts as if “driven by a motor.”

O

O

O

O

  1. Talks too much.

O

O

O

O

  1. Blurts out answers before questions have been completed.

O

O

O

O

  1. Has difficulty waiting his/her turn.

O

O

O

O

  1. Interrupts or bothers others when they are talking or playing games.

O

O

O

O

  1. Argues with adults.

O

O

O

O

  1. Loses temper.

O

O

O

O

Please turn over and answer questions on back of page.

BEHAVIOR:

Never

Occasionally

Often

Very Often


  1. Actively disobeys or refuses to follow an adult’s requests or rules.

O

O

O

O


  1. Bothers people on purpose.

O

O

O

O


  1. Blames others for his/her mistakes or misbehaviors.

O

O

O

O


  1. Is touchy or easily annoyed by others.

O

O

O

O


  1. Is angry or bitter.

O

O

O

O


  1. Is hateful and wants to get even.

O

O

O

O


  1. Bullies, threatens, or scares others.

O

O

O

O


  1. Starts physical fights.

O

O

O

O


  1. Lies to get out of trouble or to avoid jobs (i.e., “cons” others).

O

O

O

O


  1. Skips school without permission.

O

O

O

O


  1. Is physically unkind to people.

O

O

O

O


  1. Has stolen things that have value.

O

O

O

O


  1. Destroys others’ property on purpose.

O

O

O

O


  1. Is physically mean to animals.

O

O

O

O


  1. Has set fires on purpose to cause damage.

O

O

O

O


  1. Has broken into someone else’s home, business or car.

O

O

O

O


  1. Has stayed out at night without permission.

O

O

O

O


  1. Has run away from home overnight.

O

O

O

O


  1. Is fearful, anxious, or worried.

O

O

O

O


  1. Is afraid to try new things for fear of making mistakes.

O

O

O

O


  1. Feels useless or inferior.

O

O

O

O


  1. Blames self for problems, feels at fault.

O

O

O

O


  1. Feels lonely, unwanted, or unloved; complains that “no one loves him/her.”

O

O

O

O


  1. Is sad, unhappy, or depressed.

O

O

O

O


  1. Feels different and easily embarrassed.

O

O

O

O


PERFORMANCE:

Problematic


Average


Above Average

  1. Rate how your child is doing in school overall.

O

O

O

O

O

  1. How is your child doing in reading?

O

O

O

O

O

  1. How is your child doing in math?

O

O

O

O

O

  1. How is your child doing in writing?

O

O

O

O

O

  1. How does your child get along with you?

O

O

O

O

O

  1. How does your child get along with brothers and sisters?

O

O

O

O

O

  1. How does your child get along with others his/her own age?

O

O

O

O

O

  1. How does your child do in activities such as games or team play?

O

O

O

O

O

FOR STUDY USE ONLY

ID Number


Date Interviewed



Month Day Year

Interviewed by



The End.



File Typeapplication/msword
File TitleVANDERBILT EVALUATION TEACHER RATING SCALE (VETRS) – INITIAL
AuthorMelissa Doffing
Last Modified Byfps8-su
File Modified2007-03-19
File Created2007-03-16

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